Volume 10, Issue 2 (In-Press 2023)
JROS 2023, 10(2): 0-0 |
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Jabalameli M, Yahyazadeh H, Bagherifard A, Askari A, Alsamori S. Kirschner Wire is Useful in the Fixation of Knee Osteochondral Lesions. JROS 2023; 10 (2)
URL: http://jros.iums.ac.ir/article-1-2247-en.html
URL: http://jros.iums.ac.ir/article-1-2247-en.html
Mahmoud Jabalameli1 
, Houman Yahyazadeh1 , Abolfazl Bagherifard1 , Alireza Askari1 , Shadi Alsamori 1
, Houman Yahyazadeh1 , Abolfazl Bagherifard1 , Alireza Askari1 , Shadi Alsamori 1
1- Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (64 Views)
Background: Using metal screws for the fixation of knee osteochondral lesions requires a second surgery for screw removal. On the other hand, bioabsorbable screws are expensive and not widely available in many orthopedic centers.
Objectives: In this study, we report the outcomes of Kirschner wire (K-wire) fixation in such lesions, which is easily removable and widely available in most orthopedic centers.
Methods: Medical profiles of 15 patients with knee osteochondral lesions who were managed with K-wire fixation were retrospectively reviewed. The etiology of the lesion was osteochondritis dissecans in seven patients, fracture of the femoral condyle in four cases, and osteochondral lesion of the patella in four cases. The functional outcomes were evaluated with the Knee Injury and Osteoarthritis Outcome Score (KOOS), the International Knee Documentation Committee (IKDC) score, and the Lysholm knee scoring scale. The postoperative complications were extracted from the patient’s profiles.
Results: The study population included nine males and six females with a mean age of 16.2±3.2 years. The mean follow-up of the patients was 27.9±21.9 months. The mean KOOS score of the patients was 95.7±5.5. The mean IKDC score was 95.9±8.3. The mean Lysholm knee scoring scale was 96.7±4.9. Accordingly, the knee function was excellent in 11 patients and good in four patients. Nonunion was observed in one patient (6.7%) who required a reoperation. One patient required manipulation under anesthesia.
Conclusion: K-wire fixation provides acceptable results in the treatment of knee osteochondral lesions and could be regarded as a viable alternative to conventional methods.
Objectives: In this study, we report the outcomes of Kirschner wire (K-wire) fixation in such lesions, which is easily removable and widely available in most orthopedic centers.
Methods: Medical profiles of 15 patients with knee osteochondral lesions who were managed with K-wire fixation were retrospectively reviewed. The etiology of the lesion was osteochondritis dissecans in seven patients, fracture of the femoral condyle in four cases, and osteochondral lesion of the patella in four cases. The functional outcomes were evaluated with the Knee Injury and Osteoarthritis Outcome Score (KOOS), the International Knee Documentation Committee (IKDC) score, and the Lysholm knee scoring scale. The postoperative complications were extracted from the patient’s profiles.
Results: The study population included nine males and six females with a mean age of 16.2±3.2 years. The mean follow-up of the patients was 27.9±21.9 months. The mean KOOS score of the patients was 95.7±5.5. The mean IKDC score was 95.9±8.3. The mean Lysholm knee scoring scale was 96.7±4.9. Accordingly, the knee function was excellent in 11 patients and good in four patients. Nonunion was observed in one patient (6.7%) who required a reoperation. One patient required manipulation under anesthesia.
Conclusion: K-wire fixation provides acceptable results in the treatment of knee osteochondral lesions and could be regarded as a viable alternative to conventional methods.
Type of Study: Research Article |
Subject:
Knee surgery
Received: 2024/06/10 | Accepted: 2024/09/15 | Published: 2023/05/8
Received: 2024/06/10 | Accepted: 2024/09/15 | Published: 2023/05/8
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