自家吸収性スクリューとフィブリン糊を用いた関節鏡視下剥離性骨軟骨炎病変の整復および内固定術

Osteochondritis dissecans is a disease that may lead to disability in adolescents and young adults, with a potentially multifactorial etiology. Currently, there are numerous treatment options for osteochondritis dissecans. A variety of implants can be used for fragment fixation. Each type of implant has potential advantages and disadvantages. Our Technical Note describes the arthroscopic preparation of the bone bed, followed by microfracture, repositioning of the detached cartilage with fixation using absorbable screws, and simultaneous edge sealing with biological protein glue at the margins.