“…All our patients were skeletally mature, with mean age of 22.5 years old, which is older than the mean age of other studies. 7,9,12,14 When symptoms persist after skeletal maturity, surgical treatment may be warranted. There are many surgical options for unresolved Osgood-Schlatter disease including drilling of the tubercle, removal of the loose fragments, autogenous bone peg insertion through the tubercle (to obtain epiphysiodesis of the anterior tibial apophysis), tibial tubercle excision, and excision of the un-united ossicles.…”