Title |
Therapie der Osteochondrosis dissecans des Kniegelenks
|
---|---|
Published in |
Die Orthopädie, August 2007
|
DOI | 10.1007/s00132-007-1130-3 |
Pubmed ID | |
Authors |
J. Lützner, J. Mettelsiefen, K.P. Günther, F. Thielemann |
Abstract |
Osteochondritis dissecans (OD) is a lesion of the subchondral bone which can result in sequestration of the osteochondral lesion. It is categorized into 4 stages, and juvenile and adult forms depending on the distal femoral physis maturity. Prognosis and treatment depends on age and stage. Prognosis is favorable in stable lesions (stage I and II) at typical location (medial femoral condyle) in a child with open physes. Therefore non-operative treatment is indicated. If there is no response to non-operative treatment drilling to create channels for potential revascularization can be done. In unstable lesions (stage III and IV) operative treatment is necessary. Long-term results after excision of the fragment with or without drilling of the defect site are poor. Therefore refixation of an intact osteochondral fragment or biologic reconstruction should be tried. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Austria | 1 | 6% |
Unknown | 15 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 4 | 25% |
Student > Postgraduate | 2 | 13% |
Professor > Associate Professor | 2 | 13% |
Student > Ph. D. Student | 1 | 6% |
Other | 1 | 6% |
Other | 2 | 13% |
Unknown | 4 | 25% |
Readers by discipline | Count | As % |
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Computer Science | 1 | 6% |
Agricultural and Biological Sciences | 1 | 6% |
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Chemistry | 1 | 6% |
Other | 0 | 0% |
Unknown | 3 | 19% |