| Online-Ressource |
Verfasst von: | Bangert, Yannic [VerfasserIn]  |
| Zarembowicz, Patrick [VerfasserIn]  |
| Engelleiter, Karoly [VerfasserIn]  |
| Gkarilas, Evangelos [VerfasserIn]  |
| Schmitt, Holger [VerfasserIn]  |
| Renkawitz, Tobias [VerfasserIn]  |
| Jaber, Ayham [VerfasserIn]  |
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 |
Long-term outcome and athletic level following operative treatment for osteochondritis dissecans of the knee in pediatric and adolescent patients / Bangert, Yannic [VerfasserIn]; 20 June 2023 (Online-Ressource)