Refixation of a Large Osteochondral Fragment with Magnesium Compression Screws—A Case Report
Abstract
1. Introduction
2. Case Report
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Tóth, F.; Nissi, M.J.; Wang, L.; Ellermann, J.M.; Carlson, C.S. Surgical induction, histological evaluation, and MRI identification of cartilage necrosis in the distal femur in goats to model early lesions of osteochondrosis. Osteoarthr. Cartil. 2015, 23, 300–307. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Olstad, K.; Ytrehus, B.; Ekman, S.; Carlson, C.S.; Dolvik, N.I. Early lesions of osteochondrosis in the distal tibia of foals. J. Orthop. Res. 2007, 25, 1094–1105. [Google Scholar] [CrossRef] [PubMed]
- Olstad, K.; Ekman, S.; Carlson, C.S. An Update on the Pathogenesis of Osteochondrosis. Vet. Pathol. 2015, 52, 785–802. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Ellermann, J.M.; Ludwig, K.D.; Nissi, M.J.; Johnson, C.P.; Strupp, J.P.; Wang, L.; Zbýň, Š.; Tóth, F.; Arendt, E.; Tompkins, M.; et al. Three-Dimensional Quantitative Magnetic Resonance Imaging of Epiphyseal Cartilage Vascularity Using Vessel Image Features: New Insights into Juvenile Osteochondritis Dissecans. JB JS Open Access 2019, 4, e0031.1–9. [Google Scholar] [CrossRef][Green Version]
- Aichroth, P. Osteochondritis dissecans of the knee. A clinical survey. J. Bone Jt. Surgery. Br. Vol. 1971, 53, 440–447. [Google Scholar] [CrossRef]
- Mitsuoka, T.; Shino, K.; Hamada, M.; Horibe, S. Osteochondritis dissecans of the lateral femoral condyle of the knee joint. Arthrosc. J. Arthrosc. Relat. Surg. 1999, 15, 20–26. [Google Scholar] [CrossRef]
- Brown, M.L.; McCauley, J.C.; Gracitelli, G.C.; Bugbee, W.D. Osteochondritis Dissecans Lesion Location Is Highly Concordant With Mechanical Axis Deviation. Am. J. Sport. Med. 2020, 48, 871–875. [Google Scholar] [CrossRef]
- White, J. Osteochondritis dissecans in association with dwarfism. J. Bone Jt. Surgery. Br. Vol. 1957, 39-b, 261–267. [Google Scholar] [CrossRef]
- Al Kaissi, A.; Klaushofer, K.; Grill, F. Osteochondritis dissecans and Osgood Schlatter disease in a family with Stickler syndrome. Pediatr. Rheumatol. Online J. 2009, 7, 4. [Google Scholar] [CrossRef][Green Version]
- Weiss, J.M.; Shea, K.G.; Jacobs, J.C., Jr.; Cannamela, P.C.; Becker, I.; Portman, M.; Kessler, J.I. Incidence of Osteochondritis Dissecans in Adults. Am. J. Sport. Med. 2018, 46, 1592–1595. [Google Scholar] [CrossRef]
- Chau, M.M.; Klimstra, M.A.; Wise, K.L.; Ellermann, J.M.; Tóth, F.; Carlson, C.S.; Nelson, B.J.; Tompkins, M.A. Osteochondritis Dissecans: Current Understanding of Epidemiology, Etiology, Management, and Outcomes. J. Bone Jt. Surgery. Am. Vol. 2021, 103, 1132–1151. [Google Scholar] [CrossRef] [PubMed]
- Kessler, J.I.; Nikizad, H.; Shea, K.G.; Jacobs, J.C., Jr.; Bebchuk, J.D.; Weiss, J.M. The demographics and epidemiology of osteochondritis dissecans of the knee in children and adolescents. Am. J. Sport. Med. 2014, 42, 320–326. [Google Scholar] [CrossRef] [PubMed]
- Alford, J.W.; Cole, B.J. Cartilage restoration, part 2: Techniques, outcomes, and future directions. Am. J. Sport. Med. 2005, 33, 443–460. [Google Scholar] [CrossRef]
- Erickson, B.J.; Chalmers, P.N.; Yanke, A.B.; Cole, B.J. Surgical management of osteochondritis dissecans of the knee. Curr. Rev. Musculoskelet. Med. 2013, 6, 102–114. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Wouters, D.B.; Burgerhof, J.G.M.; de Hosson, J.T.M.; Bos, R.R.M. Fixation of osteochondral fragments in the human knee using Meniscus Arrows®. Knee Surg. Sport. Traumatol. Arthrosc. 2011, 19, 183–188. [Google Scholar] [CrossRef][Green Version]
- Millington, K.L.; Shah, J.P.; Dahm, D.L.; Levy, B.A.; Stuart, M.J. Bioabsorbable fixation of unstable osteochondritis dissecans lesions. Am. J. Sport. Med. 2010, 38, 2065–2070. [Google Scholar] [CrossRef]
- Weckström, M.; Parviainen, M.; Kiuru, M.J.; Mattila, V.M.; Pihlajamäki, H.K. Comparison of bioabsorbable pins and nails in the fixation of adult osteochondritis dissecans fragments of the knee: An outcome of 30 knees. Am. J. Sport. Med. 2007, 35, 1467–1476. [Google Scholar] [CrossRef]
- Haghshenas, M. Mechanical characteristics of biodegradable magnesium matrix composites: A review. J. Magnes. Alloys 2017, 5, 189–201. [Google Scholar] [CrossRef]
- Gu, X.-N.; Zheng, Y.-F. A review on magnesium alloys as biodegradable materials. Front. Mater. Sci. China 2010, 4, 111–115. [Google Scholar] [CrossRef]
- Yoshizawa, S.; Brown, A.; Barchowsky, A.; Sfeir, C. Magnesium ion stimulation of bone marrow stromal cells enhances osteogenic activity, simulating the effect of magnesium alloy degradation. Acta Biomater. 2014, 10, 2834–2842. [Google Scholar] [CrossRef]
- Zhang, Y.; Xu, J.; Ruan, Y.C.; Yu, M.K.; O’Laughlin, M.; Wise, H.; Chen, D.; Tian, L.; Shi, D.; Wang, J.; et al. Implant-derived magnesium induces local neuronal production of CGRP to improve bone-fracture healing in rats. Nat. Med. 2016, 22, 1160–1169. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Zhai, Z.; Qu, X.; Li, H.; Yang, K.; Wan, P.; Tan, L.; Ouyang, Z.; Liu, X.; Tian, B.; Xiao, F.; et al. The effect of metallic magnesium degradation products on osteoclast-induced osteolysis and attenuation of NF-κB and NFATc1 signaling. Biomaterials 2014, 35, 6299–6310. [Google Scholar] [CrossRef] [PubMed]
- Clanton, T.O.; DeLee, J.C. Osteochondritis Dissecans History, Pathophysiology and Current Treatment Concepts. Clin. Orthop. Relat. Res.® 1982, 167, 50–64. [Google Scholar] [CrossRef][Green Version]
- Hinkle, A.; Dickason, C.Q.; Jinguji, T.; Shenoi, S.; Thapa, M.; Thapa, M.; Saper, M.G.; Bompadre, V.; Schmale, G.A. Increased Prevalence of Juvenile Osteochondritis Dissecans in Patients with Juvenile Idiopathic Arthritis. Orthop. J. Sports Med. 2020, 8 (Suppl. S3), 2325967120S00220. [Google Scholar] [CrossRef]
- Pascual-Garrido, C.; McNickle, A.G.; Cole, B.J. Surgical treatment options for osteochondritis dissecans of the knee. Sport. Health 2009, 1, 326–334. [Google Scholar] [CrossRef][Green Version]
- Cugat, R.; Garcia, M.; Cusco, X.; Monllau, J.C.; Vilaro, J.; Juan, X.; Ruiz-Cotorro, A. Osteochondritis dissecans: A historical review and its treatment with cannulated screws. Arthrosc. J. Arthrosc. Relat. Surg. 1993, 9, 675–684. [Google Scholar] [CrossRef]
- Weiler, A.; Hoffmann, R.F.; Stähelin, A.C.; Helling, H.J.; Südkamp, N.P. Biodegradable implants in sports medicine: The biological base. Arthrosc. J. Arthrosc. Relat. Surg. 2000, 16, 305–321. [Google Scholar] [CrossRef]
- Marukawa, E.; Tamai, M.; Takahashi, Y.; Hatakeyama, I.; Sato, M.; Higuchi, Y.; Kakidachi, H.; Taniguchi, H.; Sakamoto, T.; Honda, J.; et al. Comparison of magnesium alloys and poly-l-lactide screws as degradable implants in a canine fracture model. J. Biomed. Mater. Res. B Appl. Biomater. 2016, 104, 1282–1289. [Google Scholar] [CrossRef]
- Windhagen, H.; Radtke, K.; Weizbauer, A.; Diekmann, J.; Noll, Y.; Kreimeyer, U.; Schavan, R.; Stukenborg-Colsman, C.; Waizy, H. Biodegradable magnesium-based screw clinically equivalent to titanium screw in hallux valgus surgery: Short term results of the first prospective, randomized, controlled clinical pilot study. Biomed. Eng. Online 2013, 12, 62. [Google Scholar] [CrossRef][Green Version]
- Witte, F.; Hort, N.; Vogt, C.; Cohen, S.; Kainer, K.U.; Willumeit, R.; Feyerabend, F. Degradable biomaterials based on magnesium corrosion. Curr. Opin. Solid State Mater. Sci. 2008, 12, 63. [Google Scholar] [CrossRef][Green Version]
- Amukarimi, S.; Mozafari, M. Biodegradable magnesium-based biomaterials: An overview of challenges and opportunities. MedComm 2021, 2, 123–144. [Google Scholar] [CrossRef] [PubMed]
- Plaass, C.; Ettinger, S.; Sonnow, L.; Koenneker, S.; Noll, Y.; Weizbauer, A.; Reifenrath, J.; Claassen, L.; Daniilidis, K.; Stukenborg-Colsman, C.; et al. Early results using a biodegradable magnesium screw for modified chevron osteotomies. J. Orthop. Res. 2016, 34, 2207–2214. [Google Scholar] [CrossRef][Green Version]
- Meier, R.; Panzica, M. [First results with a resorbable MgYREZr compression screw in unstable scaphoid fractures show extensive bone cysts]. Handchir. Mikrochir. Plast. Chir. 2017, 49, 37–41. [Google Scholar] [CrossRef] [PubMed]
- Thormann, U.; Alt, V.; Heimann, L.; Gasquere, C.; Heiss, C.; Szalay, G.; Franke, J.; Schnettler, R.; Lips, K.S. The biocompatibility of degradable magnesium interference screws: An experimental study with sheep. Biomed. Res. Int. 2015, 2015, 943603. [Google Scholar] [CrossRef][Green Version]
- Levorova, J.; Duskova, J.; Drahos, M.; Vrbova, R.; Vojtech, D.; Kubasek, J.; Bartos, M.; Dugova, L.; Ulmann, D.; Foltan, R. In vivo study on biodegradable magnesium alloys: Bone healing around WE43 screws. J. Biomater. Appl. 2018, 32, 886–895. [Google Scholar] [CrossRef] [PubMed]
- Randsborg, P.-H.; Kjennvold, S.; Røtterud, J.H. Arthroscopic Fixation of Osteochondritis Dissecans of the Knee Using a Motorized Pick and Headless Compression Screws. Arthrosc. Tech. 2019, 8, e1115–e1120. [Google Scholar] [CrossRef]
- Gao, L.; Orth, P.; Goebel, L.; Cucchiarini, M.; Madry, H. A novel algorithm for a precise analysis of subchondral bone alterations. Sci. Rep. 2016, 6, 32982. [Google Scholar] [CrossRef]
- Kreuz, P.C.; Steinwachs, M.R.; Erggelet, C.; Krause, S.J.; Konrad, G.; Uhl, M.; Südkamp, N. Results after microfracture of full-thickness chondral defects in different compartments in the knee. Osteoarthr. Cartil. 2006, 14, 1119–1125. [Google Scholar] [CrossRef][Green Version]
- Kubota, M.; Ishijima, M.; Ikeda, H.; Takazawa, Y.; Saita, Y.; Kaneko, H.; Kurosawa, H.; Kaneko, K. Mid and long term outcomes after fixation of osteochondritis dissecans. J. Orthop. 2018, 15, 536–539. [Google Scholar] [CrossRef]
- Perelli, S.; Molina Romoli, A.R.; Costa-Paz, M.; Erquicia, J.I.; Gelber, P.E.; Monllau, J.C. Internal Fixation of Osteochondritis Dissecans of the Knee Leads to Good Long-Term Outcomes and High Degree of Healing without Differences between Fixation Devices. J. Clin. Med. 2019, 8, 1934. [Google Scholar] [CrossRef][Green Version]
- Masquijo, J.; Kothari, A. Juvenile osteochondritis dissecans (JOCD) of the knee: Current concepts review. EFORT Open Rev. 2019, 4, 201–212. [Google Scholar] [CrossRef] [PubMed]
- Jungesblut, O.D.; Moritz, M.; Spiro, A.S.; Stuecker, R.; Rupprecht, M. Fixation of Unstable Osteochondritis Dissecans Lesions and Displaced Osteochondral Fragments Using New Biodegradable Magnesium Pins in Adolescents. Cartilage 2021, 13, 302s–310s. [Google Scholar] [CrossRef] [PubMed]
- Aktan, C.; Ertan, M.B.; Turan, A.; Kose, O. Fixation of Small Osteochondral Fragments in a Comminuted Distal Humerus Fracture with Magnesium Bioabsorbable Screws: A Case Report. Cureus 2018, 10, e3752. [Google Scholar] [CrossRef] [PubMed][Green Version]
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Deichsel, A.; Palma Kries, L.K.; Raschke, M.J.; Peez, C.; Briese, T.; Glasbrenner, J.; Herbst, E.; Kittl, C. Refixation of a Large Osteochondral Fragment with Magnesium Compression Screws—A Case Report. Life 2023, 13, 1179. https://doi.org/10.3390/life13051179
Deichsel A, Palma Kries LK, Raschke MJ, Peez C, Briese T, Glasbrenner J, Herbst E, Kittl C. Refixation of a Large Osteochondral Fragment with Magnesium Compression Screws—A Case Report. Life. 2023; 13(5):1179. https://doi.org/10.3390/life13051179
Chicago/Turabian StyleDeichsel, Adrian, Lucas Klaus Palma Kries, Michael J. Raschke, Christian Peez, Thorben Briese, Johannes Glasbrenner, Elmar Herbst, and Christoph Kittl. 2023. "Refixation of a Large Osteochondral Fragment with Magnesium Compression Screws—A Case Report" Life 13, no. 5: 1179. https://doi.org/10.3390/life13051179
APA StyleDeichsel, A., Palma Kries, L. K., Raschke, M. J., Peez, C., Briese, T., Glasbrenner, J., Herbst, E., & Kittl, C. (2023). Refixation of a Large Osteochondral Fragment with Magnesium Compression Screws—A Case Report. Life, 13(5), 1179. https://doi.org/10.3390/life13051179