Adult ; Arthroscopy ; Follow-Up Studies ; Humans ; Knee Injuries/complications* ; Knee Injuries/physiopathology ; Magnetic Resonance Imaging ; Male ; Osteochondritis Dissecans/diagnosis ; Osteochondritis Dissecans/etiology* ; Osteochondritis Dissecans/surgery ; Range of Motion, Articular ; Soccer/injuries* ; Treatment Outcome
Keywords
Loose body ; Osteochondral autograft ; Osteochondritis dissecans
Abstract
We report a case of loose bodies from the donor site as a complication after the osteochondral autograft for the treatment of osteochondritis dissecans. Eight months after surgery, 3 osteochondral loose fragments, having dislodged from the donor sites of the osteochondral autograft, were found in the posteromedial portion, posterolateral portion, and anterior compartment of the knee, respectively. A large osteochondral defect can be treated successfully with arthroscopic autogenous bone graft. When filling the donor site with the recipient bone core, only the cancellous portion should be inserted into the donor socket.