Arthroscopic Reduction and Internal Fixation of Detached Osteochondritis Dissecans Lesions Using Bioabsorbable Screws and Fibrin Glue

Osteochondritis dissecans is a disease that may lead to disability in adolescents and young adults, with a potentially multifactorial etiology. Currently, there are numerous treatment options for osteochondritis dissecans. A variety of implants can be used for fragment fixation. Each type of implant has potential advantages and disadvantages. Our Technical Note describes the arthroscopic preparation of the bone bed, followed by microfracture, repositioning of the detached cartilage with fixation using absorbable screws, and simultaneous edge sealing with biological protein glue at the margins.