Arthroscopic Assisted-Management of Sizable Non-Fragmented Osteochondritis Dissecans Lesions

Montaser, Mohamed Gouda; Kazk, Ayman Shawki; Sharaf, Mahmoud Khalifa

doi:10.21608/bmfj.2025.297255.2105

Arthroscopic Assisted-Management of Sizable Non-Fragmented Osteochondritis Dissecans Lesions

Articles in Press

Document Type : Original Article

Authors

¹ Professor of Orthopedic, Faculty of Medicine, Benha University

² (M.B.B. Ch and Master degree Faculty of Medicine, Tanta University) Academic degree: Assistant lecturer of orthopaedic surgery, Faculty of Medicine, post said university.

³ Lecturer of Orthopedic, Faculty of Medicine, Benha University

10.21608/bmfj.2025.297255.2105

Abstract

Background: Osteochondritis dissecans (OCD) is a pathological condition involving subchondral bone and articular cartilage results in detachment of subchondral bone and overlying articular cartilage that can cause instability, with subsequent progression to osteoarthritis. This study aimed to evaluate the efficacy and the functional outcome of Arthroscopic assisted management of sizable non-fragmented Osteochondritis Dissecans lesions. Methods: This prospective cohort study was performed on 20 patients with unstable non-fragmented Osteochondritis (OCD) lesions larger than 0.8 cm and smaller than 3.5 cm in diameter. All studied cases were subjected to the following detailed history taking and demographic data collection, full clinical examination, routine laboratory investigations [complete blood count, C-reactive protein (CRP), kidney and liver function tests]. Radiological evaluation [ Plain x-ray, computed tomography (C.T), Magnetic resonance imaging]. Results: VAS was significantly decreased after 3 mon and after 6 mon compared to preoperative and significantly decreased after 3 mon compared to after 6 mon. Lysholm knee score was significantly increased after 3 mon and after 6 mon compared to preoperative and significantly increased after 3 mon compared to after 6 mon. Conclusion: Arthroscopic assisted management of sizable non-fragmented osteochondritis dissecans lesions is associated with improvement in functional outcomes as presented by Lysholm score and improvement in pain as shown by VAS score.

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