Symptomatic osteochondritis dissecans (OCD) and traumatic osteochondral fractures (OCF) are treated with fixation with either metal or bioabsorbable device. We performed a comparative review of patients with OCD and traumatic OCF stabilised with Bio-Compression screws which are headless absorbable compression screws. Our aim was to determine whether there was a difference in outcomes between presentations. Retrospective single-centre cohort study of all patients with OCD and OCF treated with Bio-Compression screw between July 2017 and September 2022. All patients followed up until discharge with satisfactory clinical outcome. Primary outcome was return to theatre for ongoing pain or mechanical symptoms. Secondary outcome was evidence of fixation failure on follow-up MRI scan.Abstract
Introduction
Methods
They were assessed in terms of early complications following mua and k-wiring and their final clinical outcome.
.3(6%)Had symptoms suggesting superficial radial nerve damage of which 2 recovered completely after pin removal. One had residual symptom which got better before planned exploration. 9 Patients (18%)had stiffness of which only 3(6%)had residual stiffness at the end of 6 months. Crps was noted in 1 patient(2%)who recovered after good physio. There wer nocases of deep infection, osteomyelitis, tendon rupture, pin migration or significant loss of position.
There is no rationale in giving antibiotic coverage for all the pintract discharges unless swab positive.
Their entire medical records were scrutinised. A control group of similar age, sex and pre- morbid conditions was identified. A telephone survey was then conducted In warfarin group average delay in surgery was 4 days (1 to 7) , needed 76% more blood test, total morphine 40mg and Codeine 960mg, 60% longer stay and after all 78% had General anaesthesia. The six hospital survey showed the estimated number of such patients averaged 2 (1 to 4) per year, delay in surgery of 2 to 5 days and acceptable INR between 1.5 to under 3.