{"title":"应用生物软骨治疗青少年运动员小头夹层性骨软骨炎可安全及时恢复比赛","authors":"Baylor Blickenstaff, LeeAnne Torres, C. Giangarra","doi":"10.1097/BTO.0000000000000596","DOIUrl":null,"url":null,"abstract":"Objectives: Osteochondritis dissecans (OCD) is a condition affecting the capitellum in adolescent overhead athletes causing separation of articular cartilage from the subchondral bone. Multiple treatment strategies addressing these lesions have been described. The purpose of this study was to report a novel technique using BioCartilage® (Arthrex, Naples, FL) to augment microfracture of OCD lesions of the capitellum in adolescent athletes with the prediction that this would lead to favorable clinical outcomes. Methods: A retrospective review was performed of 5 patients with OCD lesions of the capitellum who underwent open surgical intervention with BioCartilage implantation through a lateral approach to the elbow. There were 4 female patients and 1 male patient. The mean age was 13 years. The average follow-up was 55.8 months. Results: Each patient returned to their original sport at 6 months with a painless range of motion and full strength. American Shoulder and Elbow Scores and Mayo Elbow Performance Scales postoperatively were 100, and Visual Analog Scales were 0/10 for each patient. There were no complications or reoperations. Radiographs obtained at 6 to 8 months postoperatively showed healing of the lesions with no further evidence of an osseous defect. Conclusion: Our technique shows promising mid-term results. A safe and timely return to play was achieved in each case. This technique offers advantages by providing an excellent range of motion and return to sport using a familiar open approach.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Treatment of Osteochondritis Dissecans of the Capitellum Using BioCartilage in Adolescent Athletes Results in Safe and Timely Return to Play\",\"authors\":\"Baylor Blickenstaff, LeeAnne Torres, C. Giangarra\",\"doi\":\"10.1097/BTO.0000000000000596\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objectives: Osteochondritis dissecans (OCD) is a condition affecting the capitellum in adolescent overhead athletes causing separation of articular cartilage from the subchondral bone. Multiple treatment strategies addressing these lesions have been described. The purpose of this study was to report a novel technique using BioCartilage® (Arthrex, Naples, FL) to augment microfracture of OCD lesions of the capitellum in adolescent athletes with the prediction that this would lead to favorable clinical outcomes. Methods: A retrospective review was performed of 5 patients with OCD lesions of the capitellum who underwent open surgical intervention with BioCartilage implantation through a lateral approach to the elbow. There were 4 female patients and 1 male patient. The mean age was 13 years. The average follow-up was 55.8 months. Results: Each patient returned to their original sport at 6 months with a painless range of motion and full strength. American Shoulder and Elbow Scores and Mayo Elbow Performance Scales postoperatively were 100, and Visual Analog Scales were 0/10 for each patient. There were no complications or reoperations. Radiographs obtained at 6 to 8 months postoperatively showed healing of the lesions with no further evidence of an osseous defect. Conclusion: Our technique shows promising mid-term results. A safe and timely return to play was achieved in each case. This technique offers advantages by providing an excellent range of motion and return to sport using a familiar open approach.\",\"PeriodicalId\":45336,\"journal\":{\"name\":\"Techniques in Orthopaedics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2022-08-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Techniques in Orthopaedics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/BTO.0000000000000596\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/BTO.0000000000000596","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Treatment of Osteochondritis Dissecans of the Capitellum Using BioCartilage in Adolescent Athletes Results in Safe and Timely Return to Play
Objectives: Osteochondritis dissecans (OCD) is a condition affecting the capitellum in adolescent overhead athletes causing separation of articular cartilage from the subchondral bone. Multiple treatment strategies addressing these lesions have been described. The purpose of this study was to report a novel technique using BioCartilage® (Arthrex, Naples, FL) to augment microfracture of OCD lesions of the capitellum in adolescent athletes with the prediction that this would lead to favorable clinical outcomes. Methods: A retrospective review was performed of 5 patients with OCD lesions of the capitellum who underwent open surgical intervention with BioCartilage implantation through a lateral approach to the elbow. There were 4 female patients and 1 male patient. The mean age was 13 years. The average follow-up was 55.8 months. Results: Each patient returned to their original sport at 6 months with a painless range of motion and full strength. American Shoulder and Elbow Scores and Mayo Elbow Performance Scales postoperatively were 100, and Visual Analog Scales were 0/10 for each patient. There were no complications or reoperations. Radiographs obtained at 6 to 8 months postoperatively showed healing of the lesions with no further evidence of an osseous defect. Conclusion: Our technique shows promising mid-term results. A safe and timely return to play was achieved in each case. This technique offers advantages by providing an excellent range of motion and return to sport using a familiar open approach.
期刊介绍:
The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.