Table 1.

Pearls and Pitfalls of Osgood-Schlatter Ossicle Excision

Pearls	Pitfalls
Open excision allows for direct visualization and safe excision of intratendinous OSD ossicles.	Damage to the patellar tendon should be carefully avoided during excision of intratendinous ossicles.
Suture anchor insertional repair of the distal patellar tendon to a bleeding bone bed on the tibial tubercle ensures strong fixation and promotes healing.	Not having anatomic tendon repair could lead to overconstraint of the patellar tendon.
Knotless decreases postoperative tendon pain/issues.	Avoid bulky knots.
Use knotless anchors and flat tapes.
Start early rehabilitation.

OSD, Osgood-Schlatter disease.