Treatment of Knee Osteochondral Fractures

Osteochondral lesions (OCLs) that are frequently encountered in skeletally immature and adult patients are more common than once thought, and their incidence rate is rising. These lesions can appear in many synovial joints of the body, such as the shoulder, elbow, hip, and ankle, occurring most ofte...

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Veröffentlicht in:Healthcare (Basel) 2022-06, Vol.10 (6), p.1061
Hauptverfasser: Cordunianu, Mihai Alexandru, Antoniac, Iulian, Niculescu, Marius, Paltanea, Gheorghe, Raiciu, Anca Daniela, Dura, Horatiu, Forna, Norin, Carstoc, Ioana Dana, Cristea, Mihai Bogdan
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container_title Healthcare (Basel)
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creator Cordunianu, Mihai Alexandru
Antoniac, Iulian
Niculescu, Marius
Paltanea, Gheorghe
Raiciu, Anca Daniela
Dura, Horatiu
Forna, Norin
Carstoc, Ioana Dana
Cristea, Mihai Bogdan
description Osteochondral lesions (OCLs) that are frequently encountered in skeletally immature and adult patients are more common than once thought, and their incidence rate is rising. These lesions can appear in many synovial joints of the body, such as the shoulder, elbow, hip, and ankle, occurring most often in the knee. The term osteochondral lesion includes a vast spectrum of pathologies such as osteochondritis dissecans, osteochondral defects, osteochondral fractures, and osteonecrosis of the subchondral bone. When considering this, the term osteochondral fracture is preserved only for an osteochondral defect that combines disruption of the articular cartilage and subchondral bone. These fractures commonly occur after sports practice and are associated with acute lateral patellar dislocations. Many of these lesions are initially diagnosed by plain radiographs; however, a computed tomography (CT) scan or magnetic resonance imaging (MRI) can add significant value to the diagnosis and treatment. Treatment methods may vary depending on the location and size of the fracture, fragment instability, and skeletal maturity. The paper reports a 14-year-old boy case with an osteochondral fracture due to sports trauma. The medical approach involved an arthrotomy of the knee, drainage of the hematoma, two Kirschner wires (K-wires) for temporary fixation to restructure anatomic alignment, and a titanium Herbert screw fixing the fracture permanently. The patient had a favorable postoperative outcome with no residual pain, adequate knee stability, and a normal range of motion. The mobility of the knee was fully recovered.
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source MDPI - Multidisciplinary Digital Publishing Institute; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access
subjects Arthritis
Cartilage
Fractures
Hyaluronic acid
Knee
Ligaments
Magnetic resonance imaging
Osteoarthritis
Patients
Pediatrics
Sports injuries
title Treatment of Knee Osteochondral Fractures
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