OCD Fixation Didactic Presentations - AOSSM/POSNA Pediatric Surgical Skills Course-OCD Fixation: 2. Fixation Techniques and Principles in Osteochondritis Dissecans

OCD Fixation: 2. Fixation Techniques and Principles in Osteochondritis Dissecans

Video Transcription

Video Summary

The video discusses different treatment options for osteochondritis dissecans. It explains the difference between stable and unstable lesions, emphasizing the importance of a healthy bone bed. For stable lesions, subchondral bone drilling is often sufficient, while unstable lesions may require bone drilling, bone grafting, and internal fixation. The video highlights different fixation options, including metal screws and biocomposite pins. It also mentions the use of suture bridge fixation and other non-screw options. The video demonstrates the process of subchondral bone drilling and screw fixation, emphasizing the need for proper recessing of the screws to ensure good purchase and reduced stripping risk. The video concludes by showing a healing progression example and mentioning the possibility of using more superficial fixation options. No credits were provided in the video.

Keywords

osteochondritis dissecans

treatment options

subchondral bone drilling

internal fixation

screw fixation