Unstable Osteochondritis Dissecans (OCD) Lesion Fixation with Sutures Bridge Fixation

Treatment principles of osteochondritis dissecans management are predicated upon improving the biology and stability of the subchondral bone and unossified epiphyseal cartilage to preserve the integrity of the scaffold providing support to the articular cartilage. Desirable characteristics of fixation options for these lesions include readily available implants, reasonable cost, a favorable outcome, low complication rate, ease of application, ability for use concurrent with treatment of associated pathology, and considerations for future implant removal. This manuscript provides a technical description of osteochondritis dissecans fixation using a suture bridge technique.