{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T02:45:47Z","timestamp":1782787547927,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2010,9,18]],"date-time":"2010-09-18T00:00:00Z","timestamp":1284768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Treatment of osteochondritis dissecans of the adult knee requires bone and cartilage integration of the loose fragment. Screw fixation provides primary stability but does not guarantee bony consolidation. Additional biological fixation using osteochondral grafts\u2014hybrid fixation\u2014could improve fragment integration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study included seven patients [median age 21 years (15\u201329)] who underwent surgery for Bedouelle IIB or III osteochondritis dissecans of the medial femoral condyle. The technique involved metal screw fixation of the fragment. Mosaicplasty grafts were then press\u2010fitted through the fragment. Cancellous autograft was utilized in the cases of subchondral bone loss. Patients were followed up clinically and radiologically (Hughston score). Screws were removed arthroscopically at 3\u00a0months and the cartilage graded using the International Cartilage Repair Society score. Fragment integration was evaluated by MRI Arthrogram (4 patients).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median follow\u2010up was 27\u00a0months (7\u201335). Median clinical Hughston score was 2 (0\u20133) preoperatively and 4 (2\u20134) postoperatively. Median radiological Hughston score was 3 (2\u20134) and 4 (3\u20134). During arthroscopic removal of metalwork, osteochondritis fragments were well integrated in all cases. The International Cartilage Repair Society score was I in one patients, II in five, and III in one. Postoperative MRI arthrograms confirmed that cartilage and bone integration was complete.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Isolated screw fixation of osteochondritis dissecans in adults provides poor bony integration. Mosaicplasty is an alternative but does not retain normal condylar anatomy. The hybrid fixation technique adds a biological \u201cbooster\u201d to osteochondritis fixation, with excellent short\u2010term outcome. Further studies are required to investigate the long\u2010term results.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-010-1259-1","type":"journal-article","created":{"date-parts":[[2010,9,17]],"date-time":"2010-09-17T15:49:21Z","timestamp":1284738561000},"page":"568-571","source":"Crossref","is-referenced-by-count":27,"title":["Hybrid fixation: evaluation of a novel technique in adult osteochondritis dissecans of the knee"],"prefix":"10.1002","volume":"19","author":[{"given":"Francois","family":"Lintz","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Andre Mignot Hospital of Versailles 177 rue de Versailles 78157 Le Chesnay Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Pujol","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Andre Mignot Hospital of Versailles 177 rue de Versailles 78157 Le Chesnay Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Pandeirada","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Andre Mignot Hospital of Versailles 177 rue de Versailles 78157 Le Chesnay Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Boisrenoult","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Andre Mignot Hospital of Versailles 177 rue de Versailles 78157 Le Chesnay Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Beaufils","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Andre Mignot Hospital of Versailles 177 rue de Versailles 78157 Le Chesnay Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,9,18]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.91B6.20957"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659001800306"},{"key":"e_1_2_6_4_2","first-page":"552","article-title":"On the therapy of osteochondritis dissecans","volume":"26","author":"Bandi W","year":"1959","journal-title":"Helv Chir Acta"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(99)70041\u20101"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658301100509"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749\u20108063(91)90087\u2010E"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.01.041"},{"key":"e_1_2_6_9_2","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1097\/00003086-197703000-00009","article-title":"Diagnosis of ostechondritis dissecans of the femoral condyles: the value of the lateral X\u2010ray view","volume":"123","author":"Harding WG","year":"1977","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466090-00003"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010005\u20100634\u20109"},{"key":"e_1_2_6_12_2","first-page":"2S97","article-title":"Osteochondritis dissecans of the femoral condyles: report of 892 cases","volume":"92","author":"Lefort G","year":"2006","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00389731"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508328119"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506294360"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.36141"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700410"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264\u2010010\u20100951\u20106"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181cfcd2e"},{"key":"e_1_2_6_20_2","first-page":"728","article-title":"Reproducibility of the radiographic analysis of dysplasia of the femoral trochlea. 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