Table 1.
Patient | Age, yb | Sex | Skeletal Maturityc | Duration of Symptoms, mo | Onset of Symptoms | Previous Surgery | Location of Lesion | Lesion Size, cm2 | Graded | Treatment Method | Number of Screws | Bone Graft |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 22 | M | Mature | 36 | Gradual | Plica debridement (2.5 years earlier) | Lateral Trochlea | 1.5 | 5 | ARIF | 2 | No |
2 | 13 | M | Immature | 0.5 | Acute | Lateral Trochlea | 3.0 | 5 | ORIF | 2 | LFC | |
3 | 18 | M | Mature | 12 | Gradual | MFC | 1.5 | 5 | ORIF | 2 | Proximal tibia | |
4 | 17 | F | Mature | 36 | Acute | Drilling of OCD (1 year earlier) | MFC | 2.8 | 5 | ORIF | 3 | Proximal tibia |
5 | 25 | M | Mature | 48 | Gradual | MFC | 3.8 | 5 | ORIF | 3 | Proximal tibia | |
Mean | 19 | 26.5 | 2.5 |
aARIF, arthroscopic reduction internal fixation; LFC, lateral femoral condyle; MFC, medial femoral condyle; ORIF, open reduction internal fixation.
bAge at the time of operative fixation of the loose body.
cMaturity defined as closure of the distal femoral physis.
dGrade 5 lesion = chondral loose bodies without attached bone as an extension of the classification system proposed by Guhl.16