Mid-Term outcomes of osgood-schlatter patients undergoing arthroscopic excision

Aim:If surgical intervention is necessary for Os-Good-Schlatter patients ,a number of surgical techniques including open surgical,arthroscopic and bursoscopic procedures are available.The aim of this study was to evaluate the mid-term clinical results of patients who underwent arthroscopic excision with the diagnosis of OSD. Materials and Methods:This study was modeled with a retrospective design.16 patients who underwent arthroscopic ossicle excision were included in this study.The Visual Analog Scale (VAS) Score,Tegner Activity Scale and Lysholm Knee Score forms were administered to the patients in order to compare their pre-operative and post-operative condition.In addition,complications such as infection,residual bone fragments,re-hospitalization or recurrence were evaluated and recorded. Results:A total of 16 patients were included in the study, and of these patients, 11 (68.75%) were male and 5 (31.25%) were female. The mean age of the patients is 28.8 (20–41 ± 7) years. The mean follow-up period was 82.9 (61–108 ± 15) months. The mean time for return to sports-related training activities for all of the patients was 9.2 (8–11) weeks. The mean VAS decreased from 6.8 ± 1.1 points preoperatively, to 5.7 ± 1.3 at the final follow-up (P < 0.001). In addition, the mean Tegner Activity Level score improved from 5.7 ± 0.6 preoperatively to 7.8 ± 0.9 at the final follow-up (P < 0.001). The mean Lysholm Knee Scale score was 77.4 ± 4.6 points in the preoperative period, increasing to 97.7 ± 5.8 points at the final follow-up (P < 0.001). In one patient, recurrence occurred at the 105th postoperative month and revision surgery was performed. Conclusion:Arthroscopic ossicle excision for OSD can be considered an adequate technique when the mid-term results are evaluated.Although rare, recurrence may occur after arthroscopic surgery.In order to demonstrate the superiority of the arthroscopic method over open surgical procedures, comparative studies containing long-term results are required.