Arthroscopic Fixation of Knee Femoral Condyle Osteochondritis Dissecans Fragment With Bone Marrow Aspirate Concentrate

Patrick A Massey; Kaylan N McClary; Hayden D McBride; Jennifer Walt; Cary H Mielke; R Shane Barton

doi:10.1016/j.eats.2021.07.013

Arthroscopic Fixation of Knee Femoral Condyle Osteochondritis Dissecans Fragment With Bone Marrow Aspirate Concentrate

Arthrosc Tech. 2021 Sep 21;10(10):e2357-e2363. doi: 10.1016/j.eats.2021.07.013. eCollection 2021 Oct.

Authors

Patrick A Massey¹, Kaylan N McClary¹, Hayden D McBride², Jennifer Walt¹, Cary H Mielke³, R Shane Barton¹

Affiliations

¹ Department of Orthopaedic Surgery, Louisiana State University, Shreveport, Louisiana, U.S.A.
² School of Medicine, Louisiana State University, Shreveport, Louisiana, U.S.A.
³ Department of Orthopaedic Surgery, Shriners Hospitals for Children, Shreveport, Louisiana, U.S.A.

Abstract

This article reviews a technique for arthroscopic fixation of an osteochondritis dissecans fragment with bone marrow aspirate concentrate augmentation. This technique involves safe harvest of bone marrow arthroscopically from the intercondylar notch, proper preparation and debridement of the parent bone, reduction of the progeny osteochondritis dissecans fragment, insertion of the bone marrow aspirate concentrate, and placement of multiple headless compression screws for fixation.