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Abrams GD, Alentorn-Geli E, Harris JD, et al. Treatment of a lateral tibial plateau osteochondritis dissecans lesion with subchondral injection of calcium phosphate. Arthrosc Tech. 2013;2(3):e271-4doi: 10.1016/j.eats.2013.03.001.
Abrams, G. D., Alentorn-Geli, E., Harris, J. D., & Cole, B. J. (2013). Treatment of a lateral tibial plateau osteochondritis dissecans lesion with subchondral injection of calcium phosphate. Arthroscopy techniques, 2(3), e271-4. https://doi.org/10.1016/j.eats.2013.03.001
Abrams, Geoffrey D, et al. "Treatment of a lateral tibial plateau osteochondritis dissecans lesion with subchondral injection of calcium phosphate." Arthroscopy techniques vol. 2,3 (2013): e271-4. doi: https://doi.org/10.1016/j.eats.2013.03.001
Abrams GD, Alentorn-Geli E, Harris JD, Cole BJ. Treatment of a lateral tibial plateau osteochondritis dissecans lesion with subchondral injection of calcium phosphate. Arthrosc Tech. 2013 Jul 19;2(3):e271-4. doi: 10.1016/j.eats.2013.03.001. eCollection 2013. PMID: 24265997; PMCID: PMC3834648.
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Arthrosc Tech. 2013 Jul 19;2(3):e271-4. doi: 10.1016/j.eats.2013.03.001. eCollection 2013.

Treatment of a lateral tibial plateau osteochondritis dissecans lesion with subchondral injection of calcium phosphate.

Arthroscopy techniques

Geoffrey D Abrams, Eduard Alentorn-Geli, Joshua D Harris, Brian J Cole

Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

PMID: 24265997 PMCID: PMC3834648 DOI: 10.1016/j.eats.2013.03.001

Abstract

Osteochondritis dissecans lesions occur frequently in children and adolescents. Treatment can be challenging and depends on the status of the articular cartilage and subchondral bone. Injection of calcium phosphate bone substitute into the area of subchondral bone edema (Subchondroplasty; Knee Creations, West Chester, PA) may be an option. We present a case of a lateral tibial plateau osteochondritis dissecans lesion treated with subchondral injection of nanocrystalline calcium phosphate. Preoperative magnetic resonance imaging is used to determine the area of subchondral edema, and intraoperative fluoroscopy is used to localize this area with the injection cannula. Calcium phosphate is injected by use of a series of syringes until the appropriate fill is obtained. Treatment of concomitant cartilage defects may also be carried out at this time.

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