LONG-TERM RESULTS OF TREATMENT OF OSTEOCHONDRITIS DISSECANS OF THE FEMORAL CONDYLES USING OSTEOPERFORATIONS OF THE SUBCHONDRAL BONEJournal: Journal of the Grodno State Medical University (Vol.18, No. 5)
Publication Date: 2020-10-02
Authors : Eismont O. L.;
Page : 532-537
Keywords : osteochondritis dissecans; knee; osteoperforation; subchondral bone;
The long-term results of treatment were analyzed for 104 patients (72 men and 32 women) who underwent 120 minimally invasive surgical interventions for various stages of osteochondritis dissecans of the femoral condyles of the knee joint. According to the indications, 4 different types of arthroscopically assisted deep osteoperforations of the subchondral bone were used: anterograde tunneling, anterograde tunneling with penetration, transchondral tunneling and retrograde tunneling.The immediate treatment results were evaluated in all patients within 12 months after surgery; the long-term results were assessed in 98 (94.2%) individuals within 2 years and in 82 (78.8%) after 9 years. The analysis of the long-term results showed the high efficiency of the previously developed algorithm for the surgical treatment of patients with osteochondritis dissecans through the use of osteoperforations of the subchondral bone.
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