Clinical Outcome of Fragment Fixation for Osteochondritis Dissecans of the Elbow

@article{Nobuta2008ClinicalOO,
  title={Clinical Outcome of Fragment Fixation for Osteochondritis Dissecans of the Elbow},
  author={Shingo Nobuta and Kazuhiro Ogawa and Katsumi Sato and Tomowaki Nakagawa and Masahito Hatori and Eiji Itoi},
  journal={Upsala Journal of Medical Sciences},
  year={2008},
  volume={113},
  pages={201 - 208}
}
Background: The choice of surgical or non-surgical treatments for osteochondritis dissecans (OCD) of the humeral capitellum is still controversial. The purpose of this study was to assess the efficacy of fragment fixation for OCD of the humeral capitellum. Methods: We reviewed 28 patients with OCD of the humeral capitellum after a mean follow up of 17 months. All patients were men and mean age was 14 years. Twenty-seven patients had a history of repetitive overuse of the elbow with baseball… Expand
Outcomes of arthroscopic treatment of osteochondritis dissecans of the capitellum and description of the technique.
TLDR
Arthroscopic all-inside fixation of unstable OCD lesions is a successful technique, facilitating athletes to return to an elite level of play. Expand
Internal Fixation of Unstable In Situ Osteochondritis Dissecans Lesions of the Capitellum
TLDR
Healing, return to sports, and good to excellent functional outcomes may be expected in the majority of patients undergoing internal fixation of unstable in situ OCD lesions of the capitellum, particularly in younger patients with lesions <13 mm in sagittal width. Expand
Surgical Treatment for Osteochondritis Dissecans of the Capitellum
TLDR
High-level evidence is lacking to determine the superiority of debridement or osteochondral autograft transfer for the treatment of capitellar OCD lesions, and a prospective longitudinal multicenter study, using validated outcome measures, that enrolls a large number of patients is needed to establish optimal treatment. Expand
The Incidence of Surgery in Osteochondritis Dissecans in Children and Adolescents
TLDR
A worse prognosis in the nonoperative treatment of older patients with OCD is confirmed, and the knowledge of likelihood of progression to surgery of OCD by location, sex, and age is useful in counseling patients and in planning treatment. Expand
Arthroscopic surgery in athletes with osteochondritis dissecans of the elbow.
  • Frank de Graaff, M. Krijnen, R. Poolman, W. Willems
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 2011
TLDR
It is suggested that surgical treatment must be contemplated after a period of unsuccessful conservative therapy for athletes with OCD, and larger studies with enhanced methodologic quality and longer follow-up should be performed to support this conclusion. Expand
Treatment Strategies and Outcomes for Osteochondritis Dissecans of the Capitellum.
TLDR
Return to sports was superior with nonoperative treatment for stable lesions, whereas surgical treatment was superior for unstable lesions, and there is currently insufficient evidence to support complex reconstructive techniques for high-grade lesions compared with microfracture/debridement alone. Expand
Osteochondritis dissecans of the elbow: state of the art
TLDR
The aim of this article is to explore OCD of the elbow with regard to aetiology, clinical presentation, the diagnostics prior to the intervention, the different surgical techniques, possible complications and pitfalls, clinical outcome and future directions. Expand
Arthroscopic and Open Surgery for Osteochondritis Dissecans
TLDR
After radiographs are obtained, patients suspected of having an osteochondritis dissecans lesion in the elbow should undergo a magnetic resonance arthrogram to determine the integrity of the cartilage cap. Expand
Osteochondritis Dissecans of the Capitellum
TLDR
The introduction of elbow arthroscopy in the treatment of osteochondritis dissecans of the capitellum permits a thorough lesion assessment and evaluation of the entire elbow joint with the ability to treat the lesion and coexistent pathology in a minimally invasive fashion. Expand
Loose Body, Plica, and Osteochondritis Dissecans
TLDR
On the basis of the current report, arthroscopic loose body removal, plica excision, and microfracture technique of the remaining base of the OCD lesion has the most predictable functional outcome. Expand
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Classification, treatment, and outcome of osteochondritis dissecans of the humeral capitellum.
TLDR
Osteochondritis dissecans of the capitellum can be classified as stable or unstable, and for large unstable lesions, fragment fixation or reconstruction of the articular surface leads to better results than simple excision. Expand
Classification, treatment, and outcome of osteochondritis dissecans of the humeral capitellum. Surgical technique.
TLDR
Osteochondritis dissecans of the capitellum can be classified as stable or unstable, and for large unstable lesions, fragment fixation or reconstruction of the articular surface leads to better results than simple excision. Expand
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It is suggested that arthroscopic abrasion chondroplasty and treatment of any accompanying pathologic lesions in the affected elbow gave good results in most patients and further follow-up will be needed to determine any long-term problems with this type of treatment. Expand
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All cases lacked elbow extension before and after surgery, but nine of 10 gained some motion after surgery and a brief review of the literature concerning osteochondritis dissecans is presented. Expand
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After a failure of conservative treatment, surgical treatment, including removal of the intraar ticular loose bodies, excision of capitellar lesions, and curettage to bleeding bone can be expected to produce pain relief and improvement in joint motion. Expand
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TLDR
Healing of osteochondritis dissecans lesions of the elbow can be achieved after fragment fixation with pull-out wiring and a bone grafting technique. Expand
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TLDR
The long term results suggest that the residual elbow symptoms associated with daily living activities in approximately 50% of patients may be associated with advanced lesions, osteoarthritis of the elbow, and a large osteochondral defect. Expand
Osteochondritis Dissecans of the Capitellum
TLDR
The introduction of elbow arthroscopy in the treatment of osteochondritis dissecans of the capitellum permits a thorough lesion assessment and evaluation of the entire elbow joint with the ability to treat the lesion and coexistent pathology in a minimally invasive fashion. Expand
Bone-peg grafting for osteochondritis dissecans of the elbow
TLDR
Bone-peg grafting is a reliable method for treating osteochondritis dissecans of the elbow and was effective in limiting the development of osteoarthritis in 15 patients followed for a minimum of 5 years. Expand
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