OSTEOCHONDRITIS-DISSECANS - A HISTORICAL REVIEW AND ITS TREATMENT WITH CANNULATED SCREWS

被引：66

作者：

CUGAT, R

GARCIA, M

CUSCO, X

MONLLAU, JC

VILARO, J

JUAN, X

RUIZCOTORRO, A

机构：

来源：

ARTHROSCOPY | 1993年 / 9卷 / 06期

关键词：

OSTEOCHONDRITIS DISSECANS; CANNULATED SCREWS; OSTEOCHONDRAL FRAGMENT FIXATION; REHABILITATION; KNEE;

D O I：

10.1016/S0749-8063(05)80506-7

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The etiology of osteochondritis dissecans and the results of treating the early stages with arthroscopic fixation using cannulated screws is discussed. Arthroscopic surgery was performed on 14 patients with osteochondritis dissecans, and the osteochondral fragment was fixed with one or two screws. A second arthroscopic procedure was necessary to assess the lesion and remove the screws. Ambulation without weight bearing is allowed during the first 2 months postoperatively. Full range of motion is encouraged. The results indicate that all patients returned to their previous sport 3-11 months postsurgery. The authors conclude that fixation with cannulated screws is the ideal method of treating osteochondritis dissecans when the osteochondral fragment is still in its bed.

引用

页码：675 / 684

页数：10

共 66 条

[1]

Pare A, Oeuvres complètes, 3, (1840)

[2]

Broca P, Sur le necrose des cartilages articulaires: Denkschrift zur feier des 10 jaehr sciftungsfestes des vereins deutcher, Aerzte in Paris, (1854)

[3]

Paget J, On the production of some of the loose bodies in joints, St Bartholomew's Hosp Rep, 6, (1870)

[4]

Konig F, Ueber freie körper in den Gelenken, Deutsche Zeitschrift für Chirurgie, 27, pp. 90-109, (1888)

[5]

Monro A, Part of the cartilage of the joint, separated and ossified, Med Essays Observ, 4, (1738)

[6]

Tobin WJ, Familial osteochondritis dissecans with associated tibia vara, J Bone Joint Surg [Am], 39, pp. 1091-1105, (1957)

[7]

Buchner L, Rieger H, Köbbeb freue gekebkköroer dürch trauma entstehen?, Arch F Klin Chir, 116, (1921)

[8]

Rehbein F, Die Entstchung der osteochondritis dissecans, Arch F Klin Chir, 265, pp. 69-114, (1950)

[9]

Langenskiold A, Can osteochondritis dissecans arise as a sequel of cartilage fracture in early childhood? An experimental study, Acta Chir Scand, 109, pp. 204-209, (1955)

[10]

Tallqvist G, The reaction to mechanical trauma in growing articular cartilage, Acta Orthop Scand Suppl, 53, (1962)

← 1 2 3 4 5 6 7 →