ArticleDer Unfallchirurg2020
[Refixation of osteochondral fragments with resorbable polylactid implants : Long-term clincal and MRI results].
Article in Der Unfallchirurg, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- [Early effectiveness of transosseous suture fixation in treatment of recurrent acute patellar dislocation with patellar osteochondral fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Good reintegration of unstable osteochondritis dissecans at the femoral condyle following screw fixation: A 3-year magnetic resonance imaging and clinical follow-up study.Journal of experimental orthopaedics · 2025Article
- [Osteochondral fractures in childhood and adolescence].Orthopadie (Heidelberg, Germany) · 2024Article
- Operative management of osteochondral lesions of the talus: 2024 recommendations of the working group 'clinical tissue regeneration' of the German Society of Orthopedics and Traumatology (DGOU).EFORT open reviews · 2024Review
- Ankle Sprains in Athletes: Current Epidemiological, Clinical and Imaging Trends.Open access journal of sports medicine · 2023Review
- [Surgical treatment of focal cartilage defects in the knee : Indications, techniques, modifications and results].Der Orthopade · 2022Article
- [13/f-The dislocated kneecap : Preparation for the medical specialist examination: part 72].Der Unfallchirurg · 2021Article
- [Surgical treatment of focal cartilage defects in the knee : Indications, techniques, modifications and results].Zeitschrift fur Rheumatologie · 2021Article
- Reconstruction of Large Osteochondral Lesions in the Knee: Focus on Fixation Techniques.Life (Basel, Switzerland) · 2021Article
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8 authors at 1 institution in 1 country.
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Abstract
backgroundRefixation with resorbable implants is a common surgical treatment in patients who suffer an injury with shearing of an osteochondral flake due to trauma of the knee or the upper ankle joint. To date there are no studies which outline long-term outcomes for this procedure. The aim of this study was to evaluate long-term clinical and magnetic resonance imaging (MRI) results after refixation with resorbable polylactide (PLLA) implants. MATERIAL AND
methodsIn this retrospective study 12 patients with 13 injuries were examined 13.9 years (±1.2 years) after refixation of an osteochondral fragment of the knee (10 patients) and the upper ankle joint (2 patients) with a mean size of 3.33 cm
resultsAfter 13.9 years (±1.2) the patients with an injury of the knee as well as of the upper ankle joint showed good to excellent results (knee: VASS 1.2 (±1.7), Tegner 4.4 (±1.3), Lysholm 85.7 (±12.2), McDermott 90.7 (±8.6), KSS 189 (±14.2), WOMAC (6.16% (±8.45)) (upper ankle joint: VASS 2.5 (±2.5), Tegner 5.5 (±1.5), Lysholm 87 (±13), McDermott 88 (±12); WOMAC (8.54% (±8.54), AOFAS 75.5 (±24.5), FADI+Sports 118 (±18)). In all cases there was evidence of good integration of the osteochondral fragment in MRI. In five patients there was moderate subchondral cyst formation (∅ ≤1 mm); however, mild changes of the cartilage contour were found in all patients. The mean modified Henderson score achieved was 14.4 (±2.0, best 8, worst 32), which corresponds to a good morphological result.
conclusionBecause of good clinical and morphological results shown by MRI, refixation through resorbable implants (PLLA) can be recommended for treatment of traumatic osteochondral flakes.
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