Treatment of unstable osteochondritis dissecans lesions of the knee using autogenous osteochondral grafts (mosaicplasty)

Arthroscopy. 1999 Apr;15(3):312-6. doi: 10.1016/s0749-8063(99)70041-1.

Abstract

Symptomatic osteochondritis dissecans lesions with minimal fragmentation that may be replaced within their crater have classically been treated by reattachment. The choice for internal fixation is varied. This article reports on the treatment of unstable osteochondritis dissecans lesions using autogenous osteochondral plugs as a means of biological internal fixation. The appearance on magnetic resonance imaging of osteochondral plugs at 6 and 9 months after transplantation is also presented.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Arthrography
  • Arthroplasty / methods*
  • Arthroscopy
  • Cartilage, Articular / diagnostic imaging
  • Cartilage, Articular / pathology
  • Cartilage, Articular / transplantation*
  • Follow-Up Studies
  • Humans
  • Joint Instability / diagnosis
  • Joint Instability / etiology
  • Joint Instability / surgery*
  • Knee Joint* / diagnostic imaging
  • Knee Joint* / pathology
  • Knee Joint* / surgery
  • Magnetic Resonance Imaging
  • Male
  • Osteochondritis Dissecans / complications
  • Osteochondritis Dissecans / diagnosis
  • Osteochondritis Dissecans / surgery*
  • Transplantation, Autologous