Extra-articular, Intraepiphyseal Drilling for Osteochondritis Dissecans of the Knee.

Arthrosc Tech

Department of Orthopedic Surgery, Rady Children's Hospital-San Diego, San Diego, California, U.S.A.

Published: November 2013

Symptomatic osteochondritis dissecans lesions of the knee frequently occur in skeletally immature patients. When conservative treatment fails, retro-articular drilling, also known as intraepiphyseal extra-articular drilling, becomes a viable treatment option. The purpose of this article is to describe our surgical technique and postoperative management of patients with stable osteochondritis dissecans lesions involving the femoral condyles. This technique is reproducible, uses readily available equipment, and has yielded good clinical outcomes with high healing rates and relatively early return to sports.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3834662PMC
http://dx.doi.org/10.1016/j.eats.2013.02.012DOI Listing

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