Direct suture repair of unstable osteochondritis dissecans lesions of the capitellum: A surgical technique

Jeremy Somerson, Mark E. Morrey, Bernard F. Morrey

Research output: Contribution to journalArticle

Abstract

Osteochondritis dissecans of the capitellum represents a challenging clinical entity. For lesions that are unstable, cause mechanical symptoms, or fail conservative management, surgical intervention may be considered. Prior reports have described debridement, microfracture, retrograde drilling, osteochondral autologous transplantation surgery, distal humeral realignment osteotomy, and direct repair with pins or osteochondral pegs. For well-attached lesions without significant fragmentation, fixation may be achieved using a simple direct suture repair technique. This method involves passage of a mattress-type suture through the lesion that is tied over the posterior cortex. No specialized instruments or implants are required. To date, no patients treated in this manner have been reoperated.

Original languageEnglish (US)
Pages (from-to)103-106
Number of pages4
JournalTechniques in Shoulder and Elbow Surgery
Volume16
Issue number4
StatePublished - 2015
Externally publishedYes

Keywords

  • Capitellar OCD
  • Capitellum
  • Fixation
  • OCD
  • Osteochondritis dissecans

ASJC Scopus subject areas

  • Surgery

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