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. Author manuscript; available in PMC: 2013 Jun 25.
Published in final edited form as: Am J Sports Med. 2009 Feb 9;37(4):754–759. doi: 10.1177/0363546508328119

Table 3.

Published series of ORIF of Grade IV OCD’s

Year Journal First Author Total Number of Lesions Reported Patients in which loose bodies were replaced Mean Patient Age (years) Mean Lesion Size Mean time to follow-up (years) Percent Follow- upa Treatment Method Outcome Comments

1957 JBJS-Bb Smillie 32 10 18.2 NRc NR NR ORIF with metal nails 7/10 reported resolution of pain

1966 JBJS-B Green 32 5 26.6 NR 5.4 NR ORIF with metal nails 5/5 good or excellent results Radiographic evidence of arthritis noted in 4/5

1977 CORRd Lindholm 20 3 NR NR NR NR ORIF with bone pegs from tibia NR 15/20 overall good results but results for loose bodies not separately reported

1977 JBJS-Ae Johnson 2 1 17.0 12.0 cm2 1.1 100 % ORIF with bone pegs 1/1 Excellent result Radiograph showed incorporation of the loose fragment

1978 JBJS-A Lipscomb 7 7 25.7 NR 8.7 NR ORIF with metal nails 6/7 with good or excellent results

1979 CORR Gillespie 18 2 17.5f 3.8f cm2 3.2f 100 % ORIF with bone pegs both healed – good results

1982 CORR Guhl 51 1 17.0f “Large” NR 73 % ORIF with k-wire 1/1 good result

1983 CORR Outerbridge 14 5 23.0 NR 2.5 NR ORIF - 1 with metal screw, 4 with bone pegs metal – 1 excellent bone pegs – 3/4 good, 1/4 fair

1987 CORR Thompson 23 3 NR NR NR 78 % Arthroscopic Herbert screws 3/3 to union

1990 AJSMg Anderson 17 7 18.0 5.8 cm2 NR 100 % ORIF with k-wire fixation 4/7 good results

1990 Arthroscopy Johnson 32 4 19.0f 5.3f cm2 3.5f 91 % Arthroscopic screw fixation 3/4 to union

1993 Arthroscopy Zuniga 11 1 24.0f 4.6f cm2 1.3f 100 % Arthroscopic Herbert screws NR 9/11 overall good and excellent results but result for the loose body not reported separately

1996 CORR Matsusue 5 3 13.0 NR 5.2 NR Arthroscopic l-lactide pins 3/3 good results

1997 International Orthopedics Tuompo 24 2 18.0 7.4 cm2 1.6 100 % ORIF via mini-arthrotomy - metal screws 2/2 good results

1998 CORR Dervin 9 1 19.1 5.0 cm2 2.1 100 % Arthroscopic with polylactic acid rods Did not unite, poor outcome

2002 KSSTAh Kivisto 28 4 20.0 5.0f cm2 NR 100 % Arthroscopic with staples 2/4 fully healed
1/4 partially healed

2005 KSSTA Cetik 2 2 20 “Large” 0.4 100 % ORIF with Herbert screws 2/2 healed

2005 KSSTA Nakagawa 8 5 16.4 3.1 cm2 5f 80 % Arthroscopic with poly-lactive acid rods 4/5 good-excellent results 1 required subsequent loose body removal

2006 KSSTA Kouzelis 10 3 18.3 4.2f cm2 2.1 100 % ORIF (mini) with Herbert screws Radiographic evidence of union in all 3
a

In all studies, percent follow-up reflects all patients in the study – not just those with Type IV defects

b

Journal of Bone and Joint Surgery – British Edition

c

Not Reported

d

Clinical Orthopaedics and Related Research

e

Journal of Bone and Joint Surgery – American Edition

f

Includes all patients in the study – not just those with Type IV defects

g

American Journal of Sports Medicine

h

Knee Surgery, Sports, Traumatology, and Arthroscopy