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Arthrosc Tech. 2020 Jun 15;9(6):e761-e767. doi: 10.1016/j.eats.2020.02.018. eCollection 2020 Jun.

Osteochondral Fracture Fixation With Fragment Preserving Suture Technique.

Arthroscopy techniques

Laura A Vogel, Kevin P Fitzsimmons, J Lee Pace

Affiliations

  1. Department of Orthopaedics, University of Colorado, Aurora, Colorado.
  2. Elite Sports Medicine, Connecticut Children's Medical Center, Farmington, Connecticut, U.S.A.
  3. Department of Orthopedic Surgery, University of Connecticut School of Medicine, Farmington, Connecticut, U.S.A.

PMID: 32577349 PMCID: PMC7301336 DOI: 10.1016/j.eats.2020.02.018

Abstract

Osteochondral fractures are relatively uncommon injuries that typically present after an acute or subacute traumatic injury. Osteochondral fracture fixation is traditionally performed in the acute setting with internal fixation procedures using pins or compression screws through the fragment. Outcomes have generally been good, but cartilage thinning, subchondral remodeling, and tissue reactions can occur after internal fixation through the fragment. This article describes osteochondral fracture fragment fixation with a fragment-preserving technique that does not violate the articular cartilage of the fragment. This technique minimizes risk to articular cartilage that has already sustained injury and also provides superior fixation.

© 2020 by the Arthroscopy Association of North America. Published by Elsevier.

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