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KMID : 0361620160510010069
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Journal of the Korean Orthopaedic Association
2016 Volume.51 No. 1 p.69 ~ p.76
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Treatment of Unstable Osteochondral Dissecans Lesion of the Knee Joint Using Autologous Osteochondral Plug
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서승석:Seo Seung-Suk
서진혁:Seo Jin-Hyeok/이정우:Yi Jeong-Woo/정동욱:Jung Dong-Wook/김도훈:Kim Do-Hun
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Abstract
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Purpose: The purpose of this study was to evaluate the clinical results of fixation of the unstable osteochondral dissecans (OCD) lesion with autologous osteochondral plugs.
Materials and Methods: This study was conducted in 19 patients who were relevant to the International Cartilage Repair Society 2, 3, or 4 who were treated with autologous osteochondral plugs and followed-up for more than 2 years from January 2004 to January 2012. Clinical evaluation was performed by comparing the preoperative and last follow-up scores of Lysholm score and subjective International Knee Documentation Committee (IKDC) score.
Results: All patients were male and the average age was 19.1 years. Of the 19 cases, there were 16 cases of medial femoral condyle lateral side lesion, 2 cases of lateral femoral condyle articular surface, and 1 case of femoral intercondylar notch lesions. The average size of the lesion was 5.68 mm2, and average use of osteochodral plugs were 4.3. Average follow-up period was 38 months. Preoperative Lysholm score, IKDC subjective score showed significant improvement.
Conclusion: Fixation with autologous osteochondral plugs for unstable OCD uses the remnant tissues therefore conserving it, which is thought to be the positive aspect of this type of operation.
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KEYWORD
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knee, osteochondral dissecans, autologous osteochondral plug fixation
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