gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

Long-term results of surgical treatment of osteochondrosis dissecans genus

Meeting Abstract

Suche in Medline nach

  • corresponding author J. Steinhagen - Klinik und Poliklinik für Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Hamburg
  • M. Rayf - Hamburg
  • J. Petersen - Hamburg
  • J. Bruns - Hamburg

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novEP85

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/nov2005/05nov158.shtml

Veröffentlicht: 13. Juni 2005

© 2005 Steinhagen et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction

Although osteochondrosis dissecans (o.c.d.) of the femoral condyles is the most often occurring location little is known about long-term results. It was the aim of our study to re-analyse patients suffering from o.c.d. of the femoral condyle which had been operated on several years ago.

Material and methods

42 patients suffering from different stages of o.c.d. of the femoral condyles which were operated using different surgical techniques depending on the stage of o.c.d. were followed-up clinically (Lysholm-Score) and radiologically (Tapper-score, Wirth-score for OA) at a mean interval of 10 & 20 years.

Results

At the first follow-up we found a mean Lysholm-Score of 83.2 (21-100, SD 19.6) pts.. The value increased to 91.2 pts at the 2. follow-up. Patients with juvenile OCD exhibited significant better results than adults (p= 0.024). Regarding osteoarthritic changes in 56.3% no changes, in 21.9 % 1°-changes, in 3.1% 3°- changes, in 6.3 % 3°- changes & in 12.5 % 4° changes. The mean stage postop. was 0.74. Ten years later similar results were found: in 56.3% no osteoarthritic changes were seen. 1°-changes were found in 21.9%, 2°- changes in 3.1% and 3°-changes in 6.3% and severe osteoarthritic 4°-cchanges were found in 12.5%. In comparison to the first follow-up at the date of the 2nd follow-up no individual changes could be detected in 73 %, a slight impairment in 11.5 % & a slight improvement in 15.4%.

Conclusion

Best clinical and long-term results with a low incidence of osteoarthritis are to obtain in cases with o.c.d. with intact cartilage layer not necessitating cartilage damage.