Fragment fixation with a bone graft and dynamic staples for osteochondritis dissecans of the humeral capitellum

Costal osteochondral autograft for reconstruction of advanced-stage osteochondritis dissecans of the capitellum

“…To date, various surgical procedures have been performed, including bone fragment fixation, such as the pull-out method, peg graft, and closed wedge of the lateral condyle of the humerus, for which excellent outcomes have been reported. 4,11,12,17,19,30,31,33,35 In particular, recent mosaicplasty of the knee has been useful in enabling reconstruction of the articular surface through the continuity of the hyaline cartilage and the subchondral bone. 1,7,8,26,34 However, results indicate that despite cartilage implant, it is mainly cancellous bone that causes serious limitations, and because insertion of the lateral wall is surgically difficult in patients with extensive loss, the defective portion may not be completely covered and may result in poor outcomes.…”

Surgical treatment for osteochondritis dissecans of the humeral capitellum

“…Various surgical methods for treatment of OCD of the capitellum have been reported, including joint debridement, subchondral drilling, excision of the lesion with or without drilling, closed wedge osteotomy of the capitellum, reattachment of the fragment, loose body removal, and osteochondral autograft translation. 2,[4][5][6][7][9][10][11][12]14,15,18,21,26 Several authors have reported excellent results in patients with unstable OCD lesions of the capitellum after reattachment of fragments with a Herbert screw, bone-peg graft, or pull-out wiring. 6,7,14,21 These studies reported that the rate of healing of lesion was 94-100%, and the rate of return to previous sports was 91-100%.…”

“…Mean organized baseball experience was 5.8 years (range, [4][5][6][7][8][9]. Mean age at the time of surgery was 13.3 years (range, [10][11][12][13][14][15][16].…”

Is there any difference between open and arthroscopic treatment for osteochondritis dissecans (OCD) of the humeral capitellum: a systematic review and meta-analysis

“…The surgical treatments are variable, including debridement, drilling or micro-fracture, fragment fixation, and osteochondral autograft transplantation [1,[7][8][9][10]. Among them, the debridement with fragment fixation is a time-tested procedure and one of the most widely used methods for surgical treatment of unstable capitellum OCD [11][12][13][14][15].…”