2023 Annual Meeting Knee Access Pass-Osteochondritis Dissecans: Fragment Fixation vs. Retrograde Drilling

Osteochondritis Dissecans: Fragment Fixation vs. Retrograde Drilling

Video Transcription

Video Summary

Dr. Adam Yanke discusses osteochondritis dissecans (OCD), focusing on diagnosis, treatment options, and outcomes, heavily referencing Rock Group data. OCD primarily affects the knee in young males, with unclear causes but possible links to microtrauma and biomechanical factors. X-rays reliably detect OCD presence, size, and location, while MRI struggles to confirm lesion stability, often requiring surgery for definitive assessment. Non-operative treatment suits patients with open growth plates and stable, smaller lesions. Operative treatment involves fragment fixation or drilling for larger or unstable lesions, with comparable results between retrograde and transarticular drilling. Proper lesion preparation and fixation yield about 80% healing, with post-op care tailored to lesion location and activity restrictions.

Asset Caption

Adam B. Yanke, M.D., Ph.D

Keywords

osteochondritis dissecans

knee

diagnosis

treatment options

Rock Group data