Osteochondral Autograft Transplantation for Osteochondritis Dissecans of the Elbow in Juvenile Baseball Players

Yamamoto, Yuji; Ishibashi, Yasuyuki; Tsuda, Eiichi; Sato, Hideki; Toh, Satoshi

doi:10.1177/0363546505282620

Cited by 165 publications

(152 citation statements)

References 32 publications

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“…In general, early-stage OCD or stable lesion on the joint can be managed non-operatively with good outcomes [5,11]. In contrast, advanced OCD or unstable lesions generally require surgical management [10,29]. A variety of surgical techniques for OCD have been reported in the literatures with satisfied outcomes, such as debridement, drilling, fragment removal, fragment fixation, and autologous osteochondral mosaicplasty [16,26,[30][31][32][33].…”

Section: Discussionmentioning

confidence: 99%

“…Surgery is indicated for patients who fail non-operative treatment and those with unstable lesions [6]. 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].…”

Section: Introductionmentioning

confidence: 99%

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

Guo

et al. 2018

International Orthopaedics (SICOT)

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Purpose We present a systematic review of the recent literatures regarding the arthroscopic and open technique in fragment fixation for osteochondritis dissecans (OCD) of the humeral capitellum and an analysis of the subjective and objective outcomes between these two procedures. Methods PubMed and EMBASE were reviewed for suitable articles relating to fragment fixation for OCD, both open and arthroscopic. We included all studies reporting on the clinical outcomes of these two procedures that were published in the English language. Data extracted from each study included level of evidence, number of patients, surgical techniques, length of follow-up, clinical outcome measures including outcome scores, range of motion (ROM), return to sports, osseous union and complications. We analyzed each study to determine the primary outcome measurement.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Guo

et al. 2018

International Orthopaedics (SICOT)

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“…To date, several authors have reported successful results after autologous osteochondral grafts for capitellar osteochondritis dissecans lesions (see Appendix) [10][11][12][13][14] . However, regarding sample size and follow-up interval, only one study, by Yamamoto et al 14 , is comparable with ours.…”

Section: Radiographic Evaluationmentioning

confidence: 99%

“…However, regarding sample size and follow-up interval, only one study, by Yamamoto et al 14 , is comparable with ours. They described osteochondral autograft transplantation for capitellar osteochondritis dissecans in eighteen juvenile baseball players who had a good outcome after a minimum of twenty-four months (mean, forty-five months) 14 . We previously reported that seven of eight patients in the current series had excellent or good clinical results according to the clinical rating system of Timmerman and Andrews 18 at a minimum of fourteen months (mean, twenty-four months) 11 .…”

Section: Radiographic Evaluationmentioning

confidence: 99%

“…This procedure has provided successful treatment of osteochondral defects in the knee and ankle joints [7][8][9] . For the past several years, a few studies have indicated the effectiveness of mosaicplasty in treating advanced lesions of capitellar osteochondritis dissecans as well as osteochondral defects in the knee and ankle joints 4,[10][11][12][13][14] . However, most have described only short-term follow-up of a small number of patients 4,[10][11][12][13] , including a mean two-year follow-up report on eight of the patients in the present series 11 .…”

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confidence: 99%

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Autologous Osteochondral Mosaicplasty for Osteochondritis Dissecans of the Elbow in Teenage Athletes

Iwasaki

Kato

Ishikawa

et al. 2009

The Journal of Bone and Joint Surgery-American Volume

122

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Background: Although autologous osteochondral mosaicplasty is widely used as a procedure for osteochondritis dissecans lesions, the effectiveness of this procedure in elbow lesions remains unclear. Our aim was to clarify the surgical efficacy of mosaicplasty for teenage athletes with advanced lesions of capitellar osteochondritis dissecans. Methods: From 2001 to 2006, nineteen teenage male patients who were competitive athletes and had advanced lesions of capitellar osteochondritis dissecans underwent mosaicplasties. The mean age of the patients was 14.2 years. The surgical technique involved obtaining small-sized cylindrical osteochondral grafts with a mean diameter of 3.5 mm from the lateral periphery of the femoral condyle at the level of the patellofemoral joint and transplanting the grafts (mean, 3.3 grafts) to prepared osteochondral defects. The patients were evaluated clinically and radiographically at a mean of forty-five months after surgery. Results: Eighteen patients were free from elbow pain, and one had mild pain occasionally. The mean total arc of elbow motion and standard deviation increased significantly from 112°± 17°preoperatively to 128°± 12°postoperatively (p < 0.005). The mean clinical score described by Timmerman and Andrews (with a maximum of 200 points) improved significantly from 131 ± 23 points preoperatively to 191 ± 15 points postoperatively (p < 0.0001). All patients except one had an excellent or good clinical result. All donor knees were graded as excellent on the basis of the Lysholm knee scoring system. All patients except two returned to a competitive level of the sport they had previously played. Neither loose-body formation nor secondary osteoarthritic changes were found in any patient. Conclusions: The current midterm results indicate that mosaicplasty can provide satisfactory clinical outcomes for teenage athletes with advanced capitellar osteochondritis dissecans lesions. Level of Evidence: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence

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Osteochondritis Dissecans Lesions of the Elbow

Smith

Obey

2021

Evidence‐Based Orthopedics

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Osteochondral Autograft Transplantation for Osteochondritis Dissecans of the Elbow in Juvenile Baseball Players

Abstract: Osteochondral autograft transplantation is a useful treatment for reattachment of the lesion as well as osteochondral resurfacing of elbow osteochondritis dissecans.

Cited by 165 publications

References 32 publications

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

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

Autologous Osteochondral Mosaicplasty for Osteochondritis Dissecans of the Elbow in Teenage Athletes

Osteochondritis Dissecans Lesions of the Elbow

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