G. Komnos (Larisa, GR)
University General Hospital of Larissa, Larissa, GRC Department of Orthopaedic Surgery & Musculoskeletal TraumaPresenter Of 1 Presentation
P267 - Mid-Term Clinical and MRI Outcomes of Arthroscopic Retrograde Drilling and Internal Fixation with Bioabsorbable Pins in Juvenile Knee OCD
Abstract
Purpose
Objective: The aim of this study was to assess the clinical and radiographic outcomes of juvenile patients who suffered from stage II or III osteochondritis dissecans (OCD) of the knee and underwent arthroscopic retrograde drilling and internal fixation with bio-absorbable pins.
Methods and Materials
Medical and radiological records from patients aged 11–16 years, who underwent arthroscopic treatment for OCD lesions of the knee in two tertiary hospitals, were retrospectively reviewed. The procedure was indicated by persistent pain and by Magnetic Resonance Imaging (MRI). All patients underwent retrograde drilling and arthroscopic fixation of the lesion with bio-absorbable pins. MRI was conducted at least 1 year post-op in all patients to evaluate healing. Functional outcomes were evaluated through the Visual Analogue Scale (VAS) for pain, the Lysholm, and IKDC scores.
Results
A total of 40 patients, with an average age of 13,1 years (range, 11-16 years) and an average follow-up of 6.6 years (range 3-13 years) were eligible for review. MRI findings confirmed the healing of the lesion in 36 out of the 40 (90%) patients. In particular, the healing rate was 95% (20/21) and 84% (16/19) for stage II and stage III respectively. Lysholm, IKDC, and VAS scores revealed a statistically significant improvement (P<0.05) at final follow-up in comparison to pre-operative status. No infection, knee stiffness, or other complication was recorded.
Conclusion
Retrograde drilling combined with internal fixation with bio-absorbable pins, of stage II and III OCD lesions of the knee provides good to an excellent outcome to juvenile patients, with a high healing rate.
Presenter Of 1 Presentation
P267 - Mid-Term Clinical and MRI Outcomes of Arthroscopic Retrograde Drilling and Internal Fixation with Bioabsorbable Pins in Juvenile Knee OCD
Abstract
Purpose
Objective: The aim of this study was to assess the clinical and radiographic outcomes of juvenile patients who suffered from stage II or III osteochondritis dissecans (OCD) of the knee and underwent arthroscopic retrograde drilling and internal fixation with bio-absorbable pins.
Methods and Materials
Medical and radiological records from patients aged 11–16 years, who underwent arthroscopic treatment for OCD lesions of the knee in two tertiary hospitals, were retrospectively reviewed. The procedure was indicated by persistent pain and by Magnetic Resonance Imaging (MRI). All patients underwent retrograde drilling and arthroscopic fixation of the lesion with bio-absorbable pins. MRI was conducted at least 1 year post-op in all patients to evaluate healing. Functional outcomes were evaluated through the Visual Analogue Scale (VAS) for pain, the Lysholm, and IKDC scores.
Results
A total of 40 patients, with an average age of 13,1 years (range, 11-16 years) and an average follow-up of 6.6 years (range 3-13 years) were eligible for review. MRI findings confirmed the healing of the lesion in 36 out of the 40 (90%) patients. In particular, the healing rate was 95% (20/21) and 84% (16/19) for stage II and stage III respectively. Lysholm, IKDC, and VAS scores revealed a statistically significant improvement (P<0.05) at final follow-up in comparison to pre-operative status. No infection, knee stiffness, or other complication was recorded.
Conclusion
Retrograde drilling combined with internal fixation with bio-absorbable pins, of stage II and III OCD lesions of the knee provides good to an excellent outcome to juvenile patients, with a high healing rate.