Table 3.

Advantages and Disadvantages of One-Stage Osteochondral Fracture Repair Technique With Knotless Anchors and Interconnected Crossing Suture Sliding Loops for the Knee

Advantages •No need for second surgery revision for hardware removal. •No metallic hardware and less risk of iatrogenic healthy soft-tissue harm by protrusion, movement, migration, and hardware failure. •Less chondral fragment risk of injury. •No bone tunnels required—less risk of fractures. •The sliding loops with high-strength braided non-absorbable sutures and knotless anchors generate a uniform compression in over the fragment. •Can be performed with open or mini-open surgery or by arthroscopy, especially in cases of stable OCD lesions. •Multiple loop configurations option. •Application in other different anatomic locations.

Disadvantages •No complete sutures fragment passage and less potential fixation strength. •Possible loosening of the sliding loop mechanism and failure. •Nonabsorbable braided sutures can potentially cause inflammatory responses, synovitis24 and cartilage abrasion (load-bearing surfaces).

OCD, osteochondritis dissecans.