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Status: Bibliographieeintrag

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Verfasst von:Bangert, Yannic [VerfasserIn]   i
 Zarembowicz, Patrick [VerfasserIn]   i
 Engelleiter, Karoly [VerfasserIn]   i
 Gkarilas, Evangelos [VerfasserIn]   i
 Schmitt, Holger [VerfasserIn]   i
 Renkawitz, Tobias [VerfasserIn]   i
 Jaber, Ayham [VerfasserIn]   i
Titel:Long-term outcome and athletic level following operative treatment for osteochondritis dissecans of the knee in pediatric and adolescent patients
Verf.angabe:Yannic Bangert, Patrick Zarembowicz, Karoly Engelleiter, Evangelos Gkarilas, Holger Schmitt, Tobias Renkawitz and Ayham Jaber
E-Jahr:2023
Jahr:20 June 2023
Umfang:12 S.
Fussnoten:Gesehen am 20.09.2023
Titel Quelle:Enthalten in: Journal of Clinical Medicine
Ort Quelle:Basel : MDPI, 2012
Jahr Quelle:2023
Band/Heft Quelle:12(2023), 12, Artikel-ID 4140, Seite 1-12
ISSN Quelle:2077-0383
Abstract:Research on the long-term outcomes following surgical therapy for osteochondritis dissecans (OCD) of the knee is scarce. A single-center retrospective cohort study was conducted to investigate surgically treated patients for knee OCD between 1993 and 2007. A total of 37 patients with an average follow-up duration of 14 years (range 8-18) were in the final cohort. IKDC and Lysholm scores were assessed. The duration and types of sport activity were reported. Long-term results were compared with existing midterm data. Knee scores showed a very good outcome with a mean of 91.3 in the IKDC score and 91.7 in the Lysholm score. Compared to midterm outcomes, both IKDC (p = 0.028) and Lysholm scores (p = 0.01) improved on final follow-up. Patients with open physes showed a significantly better Lysholm score compared to patients with closed physes (p = 0.034). Defect localization and size did not influence the outcome, but a defect depth of <0.8 cm2 achieved significantly better scores than ≥0.8 cm2. Of all surgical interventions, refixation achieved the best outcome. Long-term results significantly improved compared to midterm results with a follow-up of 40 months (p = 0.01). Thirty-six out of 37 patients were physically active, with 56% of sports being knee-straining activities. Long-term results following surgically treated OCD fragments show excellent function and a good athletic level. Patients with open physes potentially have better knee outcomes. Midterm results are sustainable and could improve further in the long term.
DOI:doi:10.3390/jcm12124140
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.3390/jcm12124140
 Volltext: https://www.mdpi.com/2077-0383/12/12/4140
 DOI: https://doi.org/10.3390/jcm12124140
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:adolescence
 autologous chondrocyte implantation
 juvenile
 knee
 osteochondritis dissecans
 subchondral lesion
K10plus-PPN:1860044662
Verknüpfungen:→ Zeitschrift

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