Function, sports and recreational activities outcome after osteochondritis dissecans surgical treatment choice

The aim of the study was to determine patient function, sports and recreational activities outcome after surgical treatment (fragment fixation or removal) for osteochondritis dissecans (OCD) type III – V. Clinical case series analysis included 8 patients (mean age 24,6 years), treated in Traumatology and orthopaedics hospital from 10.2016- 02.2019. Patients were surveyed after KOOS scale (SP1-SP5) and subjectively analogue scale (patients had asked to grade their function and sports level from 0-100). Patients were divided into two groups : group one – 5 patients who were treated by fixating OCD fragment ( type III or IV) and group two – 3 patients with OCD fragment removal (type III to V) Patients who had OCD fragment fixation KOOS function, sports and recreational activities score (SP1 – SP5) had 99 points while patients with OCD evacuation had mean score – 43,3. Using subjectively analogue scale group 1 had score – 90 while group 2 had score 53. Patients with osteochondritis dissecans fragment refixation has better short term function, sports and recreational activities results than patients with osteochondritis dissecants fragment removal. Patients return to sport outcome, especially, in physically high demanding activities such as squatting, jumping, twisting, kneeling is better with surgical fixation. It is quite important to recognize young, symptomatic patients who still has not developed type IV or V osteochondritis dissecans.