{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:54:52Z","timestamp":1773568492257,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,7,17]],"date-time":"2014-07-17T00:00:00Z","timestamp":1405555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,7,17]],"date-time":"2014-07-17T00:00:00Z","timestamp":1405555200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare meniscal stabilization alone with screw fixation in restoring subjective and objective knee function and structural cartilage integrity in skeletally immature patients with osteochondritis dissecans (OCD) of the knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study comprised 28 patients (32 knees) with magnetic resonance imaging (MRI)\u2013confirmed OCD. Unstable menisci were treated with either stabilization (15 patients, 16 knees) or screw fixation (13 patients, 16 knees; control group). Patients were assessed by functional scoring (Hughston, International Knee Documentation Committee [IKDC]) and MRI for a minimum follow\u2010up period of 2.5\u00a0years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the meniscus stabilization group, the Hughston score improved from 1.4 to 3.8 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). There was improvement in the IKDC grade, from grade C preoperatively to grade A in 14 knees and grade B in 2 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). Of 16 knees, 15 had complete defect resolution on MRI by 1\u00a0year. There were 3 complications: 1 wound infection, 1 case of trauma requiring reoperation, and 1 revision because of treatment failure at 6\u00a0months. In the screw fixation group, the Hughston score improved from 1.4 to 3.6 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). There was a significant improvement in IKDC grade, from grade C preoperatively to grade A in 11 knees and grade B in 5 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). At 2\u00a0years postoperatively, no differences in these variables were found between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Meniscal suturing alone for the treatment of an OCD of the knee shows good or excellent results in terms of clinical scoring and MRI assessment at almost 3\u00a0years' follow\u2010up. The results are comparable with those of screw fixation but with a faster recovery in the postoperative course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2014.05.010","type":"journal-article","created":{"date-parts":[[2014,7,18]],"date-time":"2014-07-18T08:30:42Z","timestamp":1405672242000},"page":"1269-1279","source":"Crossref","is-referenced-by-count":25,"title":["Meniscal Suturing Versus Screw Fixation for Treatment of Osteochondritis Dissecans: Clinical and Magnetic Resonance Imaging Results"],"prefix":"10.1002","volume":"30","author":[{"given":"Carlo","family":"Camathias","sequence":"first","affiliation":[{"name":"Paediatric Orthopaedic Department University Children's Hospital Basle Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael T.","family":"Hirschmann","sequence":"additional","affiliation":[{"name":"Orthopaedic Department Baselland Hospital Bruderholz Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Vavken","sequence":"additional","affiliation":[{"name":"Paediatric Orthopaedic Department University Children's Hospital Basle Basel Switzerland"},{"name":"Department of Orthopedic Surgery Boston Children's Hospital Harvard Medical School Boston Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erich","family":"Rutz","sequence":"additional","affiliation":[{"name":"Paediatric Orthopaedic Department University Children's Hospital Basle Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reinald","family":"Brunner","sequence":"additional","affiliation":[{"name":"Paediatric Orthopaedic Department University Children's 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