Internal Fixation of Unstable Osteochondritis Dissecans in the Skeletally Mature Knee with Metal Screws

Abstract

Headless metal compression screws provide a satisfactory union rate for treatment of unstable OCD lesions of the femoral condyles in skeletally mature patients. Patients achieving union have good knee function, maintain satisfactory activity levels, and have superior knee outcomes compared with those that failed to heal after fixation at mid to long-term follow-up.