Arthroscopic Microfracture of Osteochondritis Dissecans Lesions of the Knee
Thomas R. Carter
Matthew Brown
Sterile Instruments/Equipment
• Arthroscopic instrumentation
• Probe
• Wireless driver/drill
• 0.062-in Kirschner wire
• Biocompression screw/chondral dart
Preoperative Preparation
• Radiograph suggesting OCD lesion (Fig. 56-1).
 Figure 56-1 | Radiograph demonstrating medial femoral condylar OCD lesion of the right knee. |
• MRI demonstrating OCD lesion (Fig. 56-2).
• Treatment plans for OCD lesions may change based on intraoperative findings (Fig. 56-3).
 Figure 56-2 | MRI demonstrating lateral femoral condylar OCD lesion. |
 Figure 56-3 | Flow sheet demonstrating options for OCD lesions. (From Erickson BJ, Chalmers PN, Yanke AB, et al. Surgical management of osteochondritis dissecans of the knee. Curr Rev Musculoskelet Med. 2013;6:102-114.) |
Positioning
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