{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:26:36Z","timestamp":1787754396357,"version":"build-2784847793"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Supplement_1_Part_2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,9]]},"abstract":"\n BACKGROUND:<\/jats:title>\n Surgical treatment of Osgood-Schlatter disease is occasionally warranted, but its long-term prognosis remains poorly investigated. We studied the rate of occurrence of surgical treatment of unresolved Osgood-Schlatter disease as well as the clinical course, radiographic characteristics, and long-term outcomes after that treatment in a large population of military recruits.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n During a thirteen-year period, 178 consecutive recruits underwent surgery for unresolved Osgood-Schlatter disease, and 107 of them (117 knees) who met the inclusion criteria participated in a follow-up examination. We obtained data from the original medical records and radiographs as well as follow-up information from physical and radiographic examinations, interviews, and questionnaires to determine functional outcomes.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n The rate of occurrence of surgically treated unresolved Osgood-Schlatter disease was forty-two per 100,000 military recruits. The median age at the onset of symptoms was fifteen years. After a median duration of follow-up of ten years after the surgery, ninety-three patients (87%) reported no restrictions in everyday activities or at work and eighty (75%) had returned to their preoperative level of sports activity. The median modified Kujala score was 95 points, and the median visual analog score for pain was 7 mm. Forty-one patients (38%) reported a complete absence of pain when kneeling. Six patients had experienced minor postoperative complications, and two had undergone a reoperation for the treatment of the Osgood-Schlatter disease. After resection, the mean tibial tuberosity thickness decreased by 47%. The mean Insall-Salvati index was 1.0 preoperatively and 1.09 postoperatively (p = 0.003), and the corresponding mean Blackburne-Peel indexes were 0.85 and 0.95 (p = 0.003). With the numbers studied, the symptom duration, surgical methods, and radiographic indexes were not found to have an effect on the outcome of surgery.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n In the great majority of young adults, the functional outcome of surgical treatment of unresolved Osgood-Schlatter disease is excellent or good, the residual pain intensity is low, and postoperative complications or subsequent reoperations are rare.<\/jats:p>\n <\/jats:sec>\n \n LEVEL OF EVIDENCE:<\/jats:title>\n \n Therapeutic\n Level IV<\/jats:underline>\n . See Instructions to Authors for a complete description of levels of evidence.\n <\/jats:p>\n <\/jats:sec>\n \n ORIGINAL ABSTRACT CITATION:<\/jats:title>\n \u201cLong-Term Outcome After Surgical Treatment of Unresolved Osgood-Schlatter Disease in Young Men\u201d (2009;91:2350-8).<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.j.00450","type":"journal-article","created":{"date-parts":[[2010,9,15]],"date-time":"2010-09-15T15:29:40Z","timestamp":1284564580000},"page":"258-264","source":"Crossref","is-referenced-by-count":19,"title":["Long-Term Outcome After Surgical Treatment of Unresolved Osgood-Schlatter Disease in Young Men"],"prefix":"10.2106","volume":"92","author":[{"given":"Harri K.","family":"Pihlajam\u00e4ki","sequence":"first","affiliation":[{"name":"Research Department, Centre for Military Medicine, P.O. Box 50, FIN 00301 Helsinki, Finland. E-mail address for H.K. Pihlajam\u00e4ki:. E-mail address for T.I. Visuri:"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuomo I.","family":"Visuri","sequence":"additional","affiliation":[{"name":"Research Department, Centre for Military Medicine, P.O. Box 50, FIN 00301 Helsinki, Finland. E-mail address for H.K. Pihlajam\u00e4ki:. E-mail address for T.I. Visuri:"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib1-20230714","doi-asserted-by":"crossref","first-page":"2350","DOI":"10.2106\/JBJS.H.01796","article-title":"Long-term outcome after surgical treatment of unresolved Osgood-Schlatter disease in young men","volume":"91","year":"2009","journal-title":"J Bone Joint Surg Am."},{"key":"bib2-20230714","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1097\/01241398-199505000-00005","article-title":"Tibial tuberosity excision for symptomatic Osgood-Schlatter disease","volume":"15","year":"1995","journal-title":"J Pediatr Orthop"},{"key":"bib3-20230714","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1097\/01241398-198305000-00012","article-title":"Surgical treatment of Osgood-Schlatter's disease","volume":"3","year":"1983","journal-title":"J Pediatr Orthop"},{"key":"bib4-20230714","first-page":"202","article-title":"Surgical treatment of unresolved Osgood-Schlatter lesion","volume":"289","year":"1993","journal-title":"Clin Orthop Relat Res."},{"key":"bib5-20230714","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.knee.2007.03.003","article-title":"Elongated patellae at the final stage of Osgood-Schlatter disease: a radiographic study","volume":"14","year":"2007","journal-title":"Knee"}],"container-title":["Journal of Bone and Joint Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00004623-201009001-00013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:26:56Z","timestamp":1787750816000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00004623-201009001-00013"}},"subtitle":["Surgical Technique"],"short-title":[],"issued":{"date-parts":[[2010,9]]},"references-count":5,"journal-issue":{"issue":"Supplement_1_Part_2","published-print":{"date-parts":[[2010]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.j.00450","relation":{},"ISSN":["0021-9355","1535-1386"],"issn-type":[{"value":"0021-9355","type":"print"},{"value":"1535-1386","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,9]]}}}