2021 Annual Meeting Pediatrics Access Pass-Trans-articular versus Retro-articular Drilling of Stable Osteochondritis Dissecans of the Knee: A Prospective Randomized Controlled Trial by the ROCK Multicenter Study Group

Trans-articular versus Retro-articular Drilling of Stable Osteochondritis Dissecans of the Knee: A Prospective Randomized Controlled Trial by the ROCK Multicenter Study Group

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Video Transcription

Video Summary

This video summarization highlights a prospective comparative randomized study comparing transarticular and retroarticular drilling techniques for the treatment of stable osteochondritis dissecans (OCD) in the medial femoral condyle. The study involved 13 academic high-volume centers and 17 experienced surgeon investigators. Primary outcome measures were patient-reported outcomes, while secondary measures included complications, time to radiographic healing, and return to sport. Results showed that both techniques led to significant improvement in patient-reported outcomes, with transarticular drilling demonstrating shorter tourniquet and fluoroscopy time, better bone healing at 6 and 12 months, and earlier return to sports. Both techniques were considered safe and effective, although long-term follow-up studies are necessary to evaluate for possible degenerative joint disease.

Asset Caption

Dr. Benton Heyworth

Keywords

video summarization

comparative randomized study

transarticular drilling

retroarticular drilling

osteochondritis dissecans