دورية أكاديمية
Outcomes of Osteochondral Autograft Transplantation in Pediatric Patients With Osteochondritis Dissecans of the Capitellum.
| العنوان: | Outcomes of Osteochondral Autograft Transplantation in Pediatric Patients With Osteochondritis Dissecans of the Capitellum. |
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| المؤلفون: | Ayzenberg M; Department of Orthopedic Surgery, Shriners Hospitals for Children, Philadelphia, PA. Electronic address: ayzenbergm@gmail.com., Clippinger B; Department of Orthopedic Surgery, Shriners Hospitals for Children, Philadelphia, PA., Slate EL; Department of Orthopedic Surgery, Shriners Hospitals for Children, Philadelphia, PA., Kozin SH; Department of Orthopedic Surgery, Shriners Hospitals for Children, Philadelphia, PA., Zlotolow DA; Department of Orthopedic Surgery, Shriners Hospitals for Children, Philadelphia, PA. |
| المصدر: | The Journal of hand surgery [J Hand Surg Am] 2021 Nov; Vol. 46 (11), pp. 1028.e1-1028.e15. Date of Electronic Publication: 2021 Apr 23. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 7609631 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-6564 (Electronic) Linking ISSN: 03635023 NLM ISO Abbreviation: J Hand Surg Am Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York : Elsevier Original Publication: St. Louis, Mosby. |
| مواضيع طبية MeSH: | Elbow Joint*/diagnostic imaging , Elbow Joint*/surgery , Osteochondritis Dissecans*/diagnostic imaging , Osteochondritis Dissecans*/surgery, Adolescent ; Autografts ; Bone Transplantation ; Child ; Humans ; Transplantation, Autologous ; Treatment Outcome |
| مستخلص: | Purpose: To assess the outcomes of osteochondral autograft transplantations in the treatment of osteochondritis dissecans of the capitellum in the pediatric population. Methods: Between 2011 and 2016, 15 patients who had undergone osteochondral autograft transplantation at a mean age of 13.7 years at surgery were identified. The donor site was from the superolateral, non-weight-bearing surface of the lateral femoral condyle of the ipsilateral knee. Results: Mean follow-up was 29.5 months, with no patients lost to follow-up. Mean arc of motion increased significantly from 121.9° preoperatively to 139.1° postoperatively. All 9 elite athletes returned to sports at an elite level: 7 returned to the same level of competition in the same sport, 1 retired from gymnastics due to multiple injuries but began diving at an elite level, and 1 retired from baseball unrelated to elbow symptoms but continued hockey at the same level. Of the 4 recreational athletes, all returned to sport. There were no intraoperative complications. The symptoms resolved completely in all but 2 patients, who improved over their preoperative condition. The donor site knee pain resolved in all patients at an average of 2.3 months. Postoperative imaging demonstrated the healing and incorporation of the plug in all patients. Conclusions: In the treatment of osteochondritis dissecans of the capitellum, osteochondral autograft transplantation demonstrates excellent clinical and radiographic outcomes, with minimal short-term donor site morbidity and a high level of return to the sport. Type of Study/level of Evidence: Therapeutic IV. (Copyright © 2021 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Autograft; OATs; capitellum; osteochondritis dissecans |
| تواريخ الأحداث: | Date Created: 20210427 Date Completed: 20211229 Latest Revision: 20211229 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jhsa.2021.02.024 |
| PMID: | 33902975 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1531-6564 |
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| DOI: | 10.1016/j.jhsa.2021.02.024 |