Cartilage Case of the Month - KM

15-year-old female high school basketball player developed left knee pain, swelling and mechanical symptoms in February 2018

Evaluated by local orthopedic surgeon

History

Treated nonoperatively with crutches/restricted weightbearing x 3 months

PT for ROM/strengthening

History

December 2018 – Left Knee Arthroscopy with In-Situ Fixation of OCD with biocompression screws

History

Remains symptomatic and functionally limited

Referred in for evaluation and treatment

Questions?

What would you have done differently with respect to initial treatment?

Are there any indications for second attempt at ORIF?

OCA

• Snowman vs BioUni?
• How deep do you ream?
• Bone graft?
• Soak plug BMAC/PRP
• Compression screws?