Internal Fixation of Osteochondritis Dissecans Using PushLock Suture Anchors

Yasuyuki Ishibashi; Yuka Kimura; Shizuka Sasaki; Eiji Sasaki; Akane Takahashi

doi:10.1016/j.eats.2020.10.080

Internal Fixation of Osteochondritis Dissecans Using PushLock Suture Anchors

Arthrosc Tech. 2021 Feb 10;10(3):e705-e709. doi: 10.1016/j.eats.2020.10.080. eCollection 2021 Mar.

Authors

Yasuyuki Ishibashi¹, Yuka Kimura¹, Shizuka Sasaki¹, Eiji Sasaki¹, Akane Takahashi¹

Affiliation

¹ Department of Orthopedic Surgery, Hirosaki University Graduate School of Medicine, Aomori, Japan.

Abstract

Osteochondritis dissecans (OCD) of the knee is a subchondral bone abnormality that results in the separation of the articular cartilage and bone with subsequent progression to osteoarthritis. Unstable OCD lesions should undergo fixation to preserve the natural contour of the articular surface. Although several fixation procedures have been reported, the appropriate procedure remains unknown. Because the bony portion of the OCD lesion is usually thin, it is difficult to fix firmly with conventional methods. We began fixing OCD lesions with knotless PushLock anchors and sutures and have obtained satisfactory results. This report describes this fixation method that uses the PushLock suture anchor to treat unstable OCD lesions. This procedure also can be applied for traumatic osteochondral fractures.