Treatment of a Lateral Tibial Plateau Osteochondritis Dissecans Lesion With Subchondral Injection of Calcium Phosphate

Geoffrey D. Abrams, Eduard Alentorn-Geli, Joshua D. Harris, Brian J. Cole

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Osteochondritis dissecans lesions occur frequently in children and adolescents. Treatment can be challenging and depends on the status of the articular cartilage and subchondral bone. Injection of calcium phosphate bone substitute into the area of subchondral bone edema (Subchondroplasty; Knee Creations, West Chester, PA) may be an option. We present a case of a lateral tibial plateau osteochondritis dissecans lesion treated with subchondral injection of nanocrystalline calcium phosphate. Preoperative magnetic resonance imaging is used to determine the area of subchondral edema, and intraoperative fluoroscopy is used to localize this area with the injection cannula. Calcium phosphate is injected by use of a series of syringes until the appropriate fill is obtained. Treatment of concomitant cartilage defects may also be carried out at this time.

Original languageEnglish (US)
Pages (from-to)e271-e274
JournalArthroscopy Techniques
Volume2
Issue number3
DOIs
StatePublished - Aug 2013

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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