A Screw Length of 14 mm Is Sufficient to Avoid the Physis During Juvenile Osteochondritis Dissecans Lesion Repair but This Can Vary Based on Age and Region of the Distal Femur
Surgeons must respect the physis when repairing knee osteochondritis dissecans lesions in pediatric patients. Fluoroscopic confirmation should be used to confirm safe screw lengths, and surgeons should use caution when using screws longer than 14 mm (or 18 mm posteromedially), particularly in younger patients.
Authors
- Gabriel Sampognaro (ORCID: https://orcid.org/0000-0002-6595-3836)
- Alberto Simoncini
- Patrick A. Massey (ORCID: https://orcid.org/0000-0001-8637-0122)
- Robert W. Rutz (ORCID: https://orcid.org/0009-0003-4706-5231)
- Henry Craighead
- Bradley Nelson
- Lincoln Andre
Institutions
- Louisiana State University in Shreveport (US)
- Louisiana State University Health Sciences Center Shreveport (US)
Publication Details
- Journal
- Arthroscopy Sports Medicine and Rehabilitation
- Published
- 2024-09-26
- DOI
- https://doi.org/10.1016/j.asmr.2024.101011
- Primary Topic
- Lower Extremity Biomechanics and Pathologies
- Type
- article
- Field-Weighted Citation Impact
- 0.00