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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
|
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| 1957 | JBJS-Bb | Smillie | 32 | 10 | 18.2 | NRc | NR | NR | ORIF with metal nails | 7/10 reported resolution of pain | |
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| 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 |
|
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| 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 |
|
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| 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 |
|
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| 1978 | JBJS-A | Lipscomb | 7 | 7 | 25.7 | NR | 8.7 | NR | ORIF with metal nails | 6/7 with good or excellent results | |
|
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| 1979 | CORR | Gillespie | 18 | 2 | 17.5f | 3.8f cm2 | 3.2f | 100 % | ORIF with bone pegs | both healed – good results | |
|
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| 1982 | CORR | Guhl | 51 | 1 | 17.0f | “Large” | NR | 73 % | ORIF with k-wire | 1/1 good result | |
|
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| 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 | |
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| 1987 | CORR | Thompson | 23 | 3 | NR | NR | NR | 78 % | Arthroscopic Herbert screws | 3/3 to union | |
|
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| 1990 | AJSMg | Anderson | 17 | 7 | 18.0 | 5.8 cm2 | NR | 100 % | ORIF with k-wire fixation | 4/7 good results | |
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| 1990 | Arthroscopy | Johnson | 32 | 4 | 19.0f | 5.3f cm2 | 3.5f | 91 % | Arthroscopic screw fixation | 3/4 to union | |
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| 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 |
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| 1996 | CORR | Matsusue | 5 | 3 | 13.0 | NR | 5.2 | NR | Arthroscopic l-lactide pins | 3/3 good results | |
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| 1997 | International Orthopedics | Tuompo | 24 | 2 | 18.0 | 7.4 cm2 | 1.6 | 100 % | ORIF via mini-arthrotomy - metal screws | 2/2 good results | |
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| 1998 | CORR | Dervin | 9 | 1 | 19.1 | 5.0 cm2 | 2.1 | 100 % | Arthroscopic with polylactic acid rods | Did not unite, poor outcome | |
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| 2002 | KSSTAh | Kivisto | 28 | 4 | 20.0 | 5.0f cm2 | NR | 100 % | Arthroscopic with staples | 2/4 fully healed | |
| 1/4 partially healed | |||||||||||
|
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| 2005 | KSSTA | Cetik | 2 | 2 | 20 | “Large” | 0.4 | 100 % | ORIF with Herbert screws | 2/2 healed | |
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| 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 |
|
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| 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