Original scientific paper
Osteochondritis dissecans of the elbow: excellent results in teenage athletes treated by arthroscopic debridement and microfracture
Ivan Bojanić
; Department of Orthopedic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Tomislav Smoljanović
; Department of Orthopedic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Stjepan Dokuzović
; Department of Orthopedic Surgery, University Hospital Surgery, University Hospital
Abstract
Aim To evaluate the outcome of patients who underwent
microfracture procedure on osteochondritis dissecans
(OCD) lesions in the elbow, which had already been proven
successful on OCD lesions in the knee and ankle.
Methods Nine young patients who were previously treated
by arthroscopic debridement and microfracture by a
single surgeon were included in the study. The median
age at operation was 15 years (range 12-19). The median
time between the procedure and evaluation was 5 years
(range 2-9). The evaluation included physical examination
and patient interview with elbow function scoring. Success
of treatment was determined according evaluation
Mayo Elbow Performance Index scores and the patients’
return to sports.
Results Eight patients scored excellent results and 1 scored
a good result. Four out of 9 patients were able to increase
their training intensity, 2 returned to the same level of activity,
2 changed sports (due to reasons unrelated to the
health of their elbow), and 1 left professional sports and
started training only recreationally. No patients stopped
participating in sports altogether.
Conclusions We advocate arthroscopic microfracturing,
followed by a strict rehabilitation regime, as a highly effective
treatment for OCD of the humeral capitellum.
Keywords
Hrčak ID:
82892
URI
Publication date:
15.2.2012.
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