Operative Techniques: Osteochondritis Dissecans of the Pediatric Knee

IF 0.2 Q4 ORTHOPEDICS
Emma Gossman , Alicia Kerrigan , Magdalena Tarchala
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引用次数: 0

Abstract

Osteochondritis dissecans (OCD) of the knee is a relatively rare condition with multifactorial etiology. OCD of the knee most commonly presents in children and adolescents; therefore, timely and appropriate treatment is necessary to prevent long-term cartilage damage and osteoarthritis. The clinical presentation of OCD may vary depending on the location and stability of the lesion. Radiographic and magnetic resonance imaging (MRI) is essential to further classify the lesion and guide treatment. Depending on the lesion's characteristics, nonoperative or operative treatment may be recommended. Nonoperative treatment is recommended for stable lesions in patients with open physes. A period of activity restriction, decreased weight-bearing and immobilization may be recommended. Operative treatment is recommended for stable lesions in patients with closed physes, unstable lesions or failure of nonoperative treatment. A variety of operative techniques are utilized based on stability of the lesion and articular surface integrity. Given the varied presentation of knee OCD lesions, it is critical for clinicians to maintain a high index of suspicion in the at-risk age group. It is also necessary to maintain an in depth understanding of recommended evaluation and treatment techniques to optimize prognosis for healing and minimize long-term sequelae.

手术技术:小儿膝关节骨软骨软化症
膝关节骨软骨炎(Osteochondritis dissecans,OCD)是一种相对罕见的多因素病因性疾病。膝关节骨软骨炎最常见于儿童和青少年;因此,必须及时进行适当治疗,以防止长期软骨损伤和骨关节炎。OCD 的临床表现可能因病变的位置和稳定性而异。X光和磁共振成像(MRI)对于进一步分类病变和指导治疗至关重要。根据病变的特点,建议采用非手术或手术治疗。对于开放性髋关节炎患者的稳定病灶,建议采用非手术治疗。建议在一段时间内限制活动、减少负重和固定。对于闭合性腓骨的稳定病变、不稳定病变或非手术治疗失败的患者,建议采用手术治疗。根据病变的稳定性和关节面的完整性,可采用多种手术技术。鉴于膝关节 OCD 病变的表现形式多种多样,临床医生对高危年龄组患者保持高度怀疑至关重要。此外,还必须深入了解推荐的评估和治疗技术,以优化愈合预后并尽量减少长期后遗症。
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
40
审稿时长
83 days
期刊介绍: Operative Techniques in Orthopaedics is an innovative, richly illustrated resource that keeps practitioners informed of significant advances in all areas of surgical management. Each issue of this atlas-style journal explores a single topic, often offering alternate approaches to the same procedure. Its current, definitive information keeps readers in the forefront of their specialty.
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