{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:51:08Z","timestamp":1791161468289,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The treatment of knee osteochondritis dissecans in young patients remains challenging. Unstable or displaced lesions and those unresponsive to conservative management require surgical treatment. Because the articular surface morphology is complex and patient\u2010specific, preservation and fixation of the native osteochondritis dissecans fragment are ideal for maintaining anatomic congruity. Structural bone grafting is desirable in cases of unstable lesions with substantial subchondral bone loss because it provides effective defect filling, greater mechanical support for large defects, and resistance to postoperative lesion collapse. Arthroscopy offers several advantages over traditional open approaches through an arthrotomy, including reduced surgical invasiveness, improved visualization of intra\u2010articular pathology, and accelerated postoperative recovery. However, studies describing the optimal arthroscopic techniques are limited. Therefore, this article aims to describe a step\u2010by\u2010step arthroscopic technique of structural strip\u2010shaped tibial cancellous bone grafting for unstable adolescent knee osteochondritis dissecans lesions.<\/jats:p>","DOI":"10.1002\/atn2.70261","type":"journal-article","created":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T23:51:11Z","timestamp":1791157871000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Arthroscopic Fixation of Unstable Adolescent Knee Osteochondritis Dissecans With Structural Tibial Cancellous Bone Autograft"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2916-3332","authenticated-orcid":false,"given":"Yuta","family":"Tachibana","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Osaka Rosai Hospital  Sakai\u2010City Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoya","family":"Nishikawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Osaka Rosai Hospital  Sakai\u2010City Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoyuki","family":"Shimoji","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Osaka Rosai Hospital  Sakai\u2010City Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6691-8290","authenticated-orcid":false,"given":"Tomoki","family":"Ohori","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The University of Osaka Graduate School of Medicine  Suita\u2010City Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The University of Osaka Graduate School of Medicine  Suita\u2010City Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiji","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The University of Osaka Graduate School of Medicine  Suita\u2010City Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazutaka","family":"Kinugasa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Osaka Rosai Hospital  Sakai\u2010City Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1177\/0363546513510390","article-title":"The demographics and epidemiology of osteochondritis dissecans of the knee in children and adolescents","volume":"42","author":"Kessler JI","year":"2014","journal-title":"Am J Sports Med."},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1177\/03635465211057103","article-title":"Descriptive epidemiology from the research in osteochondritis dissecans of the knee (ROCK) prospective cohort","volume":"50","author":"Nissen CW","year":"2022","journal-title":"Am J Sports Med."},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"276","DOI":"10.3390\/jcm12010276","article-title":"Fixation of unstable femoral juvenile osteochondritis dissecans lesions with bioabsorbable pins\u2010clinical and radiographic outcomes","volume":"12","author":"Kreher J","year":"2022","journal-title":"J Clin Med."},{"key":"e_1_2_6_5_1","first-page":"587","article-title":"The anatomic relationship of medial femoral condyle osteochondritis dissecans to the posterior cruciate ligament","volume":"45","author":"Milewski MD","year":"2025","journal-title":"J Pediatr Orthop."},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"1799","DOI":"10.1177\/0363546517699846","article-title":"High rate of osteoarthritis after osteochondritis dissecans fragment excision compared with surgical restoration at a mean 16\u2010year follow\u2010up","volume":"45","author":"Sanders TL","year":"2017","journal-title":"Am J Sports Med."},{"key":"e_1_2_6_7_1","doi-asserted-by":"crossref","first-page":"e339","DOI":"10.1016\/j.eats.2014.01.016","article-title":"Arthroscopic delivery of cancellous tibial autograft for unstable osteochondral lesions in the adolescent knee","volume":"3","author":"Espinoza C","year":"2014","journal-title":"Arthrosc Tech."},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"e1721","DOI":"10.1016\/j.eats.2023.05.021","article-title":"All\u2010arthroscopic bone grafting and primary fixation of a medial femoral condyle osteochondritis dissecans lesion","volume":"12","author":"Kelly SR","year":"2023","journal-title":"Arthrosc Tech."},{"key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"103111","DOI":"10.1016\/j.eats.2024.103111","article-title":"Arthroscopic debridement and fixation of osteochondritis dissecans lesions of the medial femoral condyle","volume":"13","author":"Holliday CL","year":"2024","journal-title":"Arthrosc Tech."}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70261","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/atn2.70261","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70261","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T23:51:13Z","timestamp":1791157873000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/atn2.70261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,4]]},"references-count":8,"alternative-id":["10.1002\/atn2.70261"],"URL":"https:\/\/doi.org\/10.1002\/atn2.70261","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,4]]},"assertion":[{"value":"2026-02-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70261"}}