Delayed osteochondral fracture fixation of the knee in a pediatric patient

Sarı, Enes; Polat, Barış; Aydın, Deniz; Yalçınozan, Mehmet; Erler, Kaan

doi:10.14744/tjtes.2020.59056

Cited by 1 publication

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“…The urgency to promptly identify such osteochondral fractures (OCFs) stems from the potential consequences that arise from failing to treat them [ 14 – 16 ]. Substantial impairment of joint functionality resulting in a profound impact on their daily activities as well as primarily early-onset arthritis, due to progressive chondral damage are the most common consequences of mistreatment [ 5 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…Substantial impairment of joint functionality resulting in a profound impact on their daily activities as well as primarily early-onset arthritis, due to progressive chondral damage are the most common consequences of mistreatment [ 5 , 17 , 18 ]. The early detection of the fragment allows minimal intervention and immediate return to sports [ 14 – 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Pediatric osteochondral fractures: clinical insights associate early diagnosis to early rehabilitation via arthroscopy

Pechlivanidou,

Zambakides,

Margariti

2024

Eur J Orthop Surg Traumatol

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Purpose This retrospective observational cohort analysis aims to address diagnostic and therapeutic challenges in managing osteochondral fractures (OCFs) resulting from acute patella dislocation and ankle sprains in children. Methods The study includes 15 children treated for OCFs between January 2020 and July 2022. Data were obtained from medical records and analyzed using logistic regression. Results The diagnostic and treatment algorithm involves detailed history, clinical examination, and imaging, with MRI guiding therapeutic decisions. Arthroscopic or mini open fixation led to successful rehabilitation, with 93% achieving full mobility at 9 months. Age was identified as a slight risk factor for free fragments in MRI, and arthroscopic management correlated with faster recovery at 3 months. Conclusion This study underscores the importance of immediate diagnosis and minimally invasive intervention for OCFs in children. Timely treatment, guided by a diagnostic algorithm, facilitates joint restoration and prevents degenerative consequences, ensuring a return to regular activities within a year postoperatively. Level of Evidence IV

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