Osteochondritis Dessicans- Primary Fixation  using Bioabsorbable Implants

Case Report

Volume 2 | Issue 2 | JOCR April – June 2012 | Page 3-6 | Galagali A, Rao M.

Osteochondritis Dessicans- Primary Fixation using Bioabsorbable Implants

Anand Galagali ,  Muralidhar Rao

Dept of Orthopaedic, Manipal Hospital, Bangalore, India.

Address of Correspondence 

Dr. Anand Galagali, Dept of Orthopaedics, Manipal Hospital, Bangalore, India. Email: agalagali@gmail.com


  Abstract

 Introduction:Osteochondritis dessicans (OCD) is a localized condition where a section of articular cartilage and  underlying subchondral bone separate from the joint surface. It is important to diagnose unstable OCD early and fix the fragments primarily as the results of any surgical management at late presentations are guarded. Use of bioabsorbable implants for fixing OCD is recent and we report one such case in grade IV OCD.

Case Report:We present a 14 year old girl who came with a history of acute pain, swelling, inability to bear  weight on the right knee following a dance practice. MRI showed stage IV osteochondral fragment measuring 20x  8mm lying free. This was primarily fixed with bioabsorbable implants. 10 months follow up showed excellent clinical and functional results.

Conclusion: This case highlights the advantages of early primary fixation whenever possible. By far, to our knowledge, this is the first case of successful treatment of stage IV OCD using bioabsorbable implants

Keywords: Osteochondritis Dessicans, bioabsorbable implants, osteochondral fractures, adolescent knee injuries, arthroscopy.

How to Cite This Article: 

Galagali A, Rao M. Osteochondritis Dessicans- Primary Fixation using bioabsorbable implants. J Orthopaedic Case Reports 2012 AprilJune;2(2):3-6. Available fromhttp://www.jocr.co.in/wp/wp-content/uploads/2012/06/FINAL-Article-2-page-wise-Osteochondritis-Dessicans-Primary-Fixation.pdf

 

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