BACKGROUND:Osteochondritis dissecans of the femoral condyles is characterized by subchondral bone lesions, with subsequent formation ofanosteonecrosis area. In nearly half of the cases, gonarthrosis developed in the long-term period despite timely treatment of such patients, including children. The development of new techniques and the improvement of existing ones will help enhance the treatment results of patients with this pathology. AIM:To evaluate the efficacy of treatment inasmall clinical series of pediatric patients with osteochondritis dissecans by triple injections of platelet-rich plasma (PRP) according to the developed scheme in combination with revascularizing tunnelization of the lesion area. MATERIALS AND METHODS:Seven patients with stage I or II osteochondritis dissecans were treated by revascularizing stimulation of the osteonecrosis center by triple injections of PRP (the first procedure was conducted intraoperatively intraosseously and the two other injections subsequently intraarticularly). The follow-up period was10 (611)months, withamaximum duration of 12 months. RESULTS:The observation results demonstrateahigh efficacy of PRP therapy to enhance the effect of mechanical methods of osteochondrogenesis stimulation in children with osteochondritis dissecans. CONCLUSIONS:The use of orthobiological technologies isanactively developing and promising approach in the complex treatment of children with osteochondritis dissecans of the femur condyles. However, further observation is required to evaluate the long-term results.
Остеохондропатия проксимального отдела локтевой кости -редкое заболевание, которое поражает не толь-ко локтевой, но и венечный отросток. В отечественной и зарубежной медицинской литературе мы не нашли описания остеохондропатии венечного отростка у ребенка, вызывающей большой интерес с точки зрения диа-гностики и лечения. В статье представлен клинический случай остеохондропатии венечного отростка, описана клиническая картина поражения локтевого сустава у пациента, которая проиллюстрирована рентгенограмма-ми, сделанными до и после хирургического лечения. В описанном клиническом случае после хирургического лечения у ребенка прошли боли и восстановилась в полном объеме функция локтевого сустава, что позволяет нам расценить результат лечения как хороший и предположить, что выбранная активная хирургическая тактика лечения данного заболевания адекватна и своевременна.Ключевые слова: локтевая кость; ребенок; остеохондропатия. OSTEOCHONDROPATHY OF THE CORONOID PROCESS OF THE ULNA IN A CHILD: CASE REPORT © M.S. Nikitin, Ya.N. ProshchenkoThe Turner Scientific Research Institute for Children's Orthopedics, Saint Petersburg, Russia Osteochondropathy of the proximal ulnar bone is a rare disease that affects not only the ulnar, but also the venous process. To our knowledge, the existing domestic and foreign medical literature does not provide a description of osteochondropathy of the coronal process, a topic of considerable interest from the point of view of diagnosis and treatment. Here, we describe a clinical case of osteochondropathy of the coronal process and present a clinical picture of the defect of the elbow joint in the patient, with radiographs taken before and after the surgery. In the present clinical case, postoperatively, the patient reported pain; however, the elbow joint function was fully restored, indicating the success of the treatment and that active surgical treatment of this disease is adequate and timely.
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