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OCD peds tx

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By David Bennett Pediatric Orthopaedic Surgeon in the United States
Matthew J Gunton, James L Carey, Colin R Shaw, M Lucas Murnaghan
BACKGROUND: Early diagnosis and successful treatment of juvenile osteochondritis dissecans (JOCD) is essential in preventing articular degeneration at a young age. Surgical treatment of stable JOCD lesions failing nonoperative treatment involves retroarticular or transarticular drilling to induce revascularization and healing. Multiple case series report high healing rates and infrequent complications for both retroarticular and transarticular drilling modalities; however, it is unclear from these individual reports whether one mode of drilling provides higher healing rates...
April 2013: Clinical Orthopaedics and related Research
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