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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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The knee: internal fixation techniques for osteochondritis dissecans.

Nathan L Grimm¹, Christopher K Ewing², Theodore J Ganley³

¹Department of Orthopaedic Surgery, Duke University Medical Center, Box 3956, Durham, NC 27710, USA.

Clinics in Sports Medicine

|April 5, 2014

Summary

For athletes with knee osteochondritis dissecans, assessing lesion stability is key. If unstable but fixable, surgical options exist, with the best choice depending on the athlete

Keywords:

Fixation Knee Osteochondritis dissecans Skeletally immature Sports medicine

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$Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus$

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

Area of Science:

Orthopedic surgery
Sports medicine

Background:

Osteochondritis dissecans (OCD) is a joint condition affecting cartilage and underlying bone.
Knee OCD is common in athletic individuals, impacting their ability to compete.

Purpose of the Study:

To outline the initial steps in managing knee osteochondritis dissecans in athletes.
To review available fixation methods for unstable but salvageable OCD lesions.
To emphasize individualized treatment planning based on athlete-specific factors.

Main Methods:

Lesion stability assessment is the primary diagnostic step.
Surgical fixation techniques for unstable OCD lesions are considered.
Factors influencing treatment selection are analyzed.

Main Results:

Treatment decisions for knee OCD hinge on lesion stability.
Multiple surgical fixation methods offer viable solutions for unstable lesions.
Individualized approaches are crucial for successful outcomes in athletes.

Conclusions:

Determining the stability of knee osteochondritis dissecans is the critical first step in treatment.
Various fixation techniques are available for unstable lesions in athletes.
Treatment selection requires careful consideration of the athlete's sport, level of play, and goals.