How to Treat Osteochondritis Dissecans of the Knee: Surgical Techniques and New Trends by Elizaveta Kon, Francesca Vannini, Roberto Buda, Giuseppe Filardo,

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Presentation transcript:

How to Treat Osteochondritis Dissecans of the Knee: Surgical Techniques and New Trends by Elizaveta Kon, Francesca Vannini, Roberto Buda, Giuseppe Filardo, Marco Cavallo, Alberto Ruffilli, Matteo Nanni, Alessandro Di Martino, Maurilio Marcacci, and Sandro Giannini J Bone Joint Surg Am Volume 94(1):e1 January 4, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Schematic representation of five surgical treatments for osteochondritis dissecans of the knee: massive osteochondral autologous transplantation (Fig. 1-A), bone-cartilage paste graft (Fig. 1- B), second-generation autologous chondrocyte implantation plus bo... Elizaveta Kon et al. J Bone Joint Surg Am 2012;94:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Massive osteochondral autologous transplantation. Elizaveta Kon et al. J Bone Joint Surg Am 2012;94:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Second-generation autologous chondrocyte implantation plus bone graft. Elizaveta Kon et al. J Bone Joint Surg Am 2012;94:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Biomimetic osteochondral scaffold. Elizaveta Kon et al. J Bone Joint Surg Am 2012;94:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Bone-marrow-derived cell transplantation. Elizaveta Kon et al. J Bone Joint Surg Am 2012;94:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

The IKDC subjective score for the entire study cohort preoperatively and at the time of the latest follow-up. Elizaveta Kon et al. J Bone Joint Surg Am 2012;94:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

The IKDC subjective score in each treatment group preoperatively and at the time of the latest follow-up. 1 = massive osteochondral autologous transplantation, 2 = bone-cartilage paste graft, 3 = second-generation autologous chondrocyte implantation plus bo... Elizaveta Kon et al. J Bone Joint Surg Am 2012;94:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

The mean pre-injury, preoperative, and final postoperative Tegner score (activity level) in each treatment group. 1 = massive osteochondral autologous transplantation, 2 = bone-cartilage paste graft, 3 = second-generation autologous chondrocyte implantation... Elizaveta Kon et al. J Bone Joint Surg Am 2012;94:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

The improvement in the IKDC subjective score according to age at the time of the surgery, showing that a younger age was associated with a better outcome. Elizaveta Kon et al. J Bone Joint Surg Am 2012;94:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.