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

IF 0.2 Q4 ORTHOPEDICS
Baylor Blickenstaff, LeeAnne Torres, C. Giangarra
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引用次数: 0

摘要

目的:分离性骨软骨炎(OCD)是一种影响青少年头顶运动员小头的疾病,导致关节软骨与软骨下骨分离。针对这些病变的多种治疗策略已被描述。本研究的目的是报道一种使用biocartirage®(Arthrex, Naples, FL)的新技术,用于增加青少年运动员小头强迫症病变的微骨折,并预测这将导致良好的临床结果。方法:回顾性分析5例肱骨小头强迫症患者经肘部外侧入路行生物软骨植入的开放性手术干预。女性4例,男性1例。平均年龄为13岁。平均随访时间为55.8个月。结果:每位患者在6个月时恢复到原来的运动,活动范围无痛,力量充分。术后美国肩关节评分和Mayo肘关节功能评分为100分,视觉模拟评分为0/10分。没有并发症或再手术。术后6至8个月的x线片显示病变愈合,无骨缺损的进一步证据。结论:本技术中期效果良好。在每个案例中,都实现了安全及时的恢复比赛。这种技术的优点是提供了一个良好的运动范围,并使用熟悉的开放方法返回运动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
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.
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