Arthroscopic Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral Condyle

Charles L. Holliday; Xuankang Pan; Adam J. Tagliero; Daniël B.F. Saris; Todd A. Milbrandt; Aaron J. Krych; Mario Hevesi

doi:10.1016/j.eats.2024.103111

journal article Open Access Jul 20, 2024

Arthroscopic Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral Condyle

Charles L. Holliday Xuankang Pan Adam J. Tagliero Daniël B.F. Saris Todd A. Milbrandt Aaron J. Krych Mario Hevesi

Arthroscopy Techniques Vol. 13 No. 10 · Wiley

View at Publisher Save 10.1016/j.eats.2024.103111

Abstract

Abstract

Unstable osteochondritis dissecans lesions of the medial femoral condyle have classically been treated with open reduction and fixation under direct visualization through an open arthrotomy. Given the value of avoiding open arthrotomies, we present an arthroscopic approach for lesion elevation, debridement, and fixation. The lesion is first elevated using an arthroscopic elevator, leaving a laterally based osseous hinge. Once elevated, fibrous debris is debrided from the base of the lesion. Subsequently, the fragment is reduced, and percutaneous transpatellar instrumentation is used for fixation. The use of this technique allows for excellent mobilization, debridement, and fixation of the osteochondritis dissecans lesion while minimizing violation of periarticular soft tissues.

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Details

Published: Jul 20, 2024
Vol/Issue: 13(10)
License: View

Authors

C

Charles L. Holliday