Editorial Commentary: Unstable Osteochondritis Dissecans in the Mature Knee: Internal Fixation Works, But We Need More Data.
editorial · Level V
Where this comes from
- Record sourced from PubMed, PMID 31395195.
- Also identified by DOI 10.1016/j.arthro.2019.05.040.
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Abstract
It is generally agreed that osteochondritis dissecans (OCD) in the mature knee has little healing potential. A new systematic review concludes that internal fixation of unstable OCDs in adults leads to good function, and the healing rates are more than acceptable. That's a good thing; keep on fixing those OCDs. However, there are surprisingly few good articles to base our knowledge on. Only 13 studies with a grand total of 148 patients could be included in the review. With different methodologies and different implants, we still don't know how to best treat these patients. Bigger and better trials are needed.
Medical subject headings
- Osteochondritis Dissecans
Anatomy
- knee