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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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Autores principales: Cordunianu, Mihai Alexandru, Antoniac, Iulian, Niculescu, Marius, Paltanea, Gheorghe, Raiciu, Anca Daniela, Dura, Horatiu, Forna, Norin, Carstoc, Ioana Dana, Cristea, Mihai Bogdan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222836/
https://www.ncbi.nlm.nih.gov/pubmed/35742112
http://dx.doi.org/10.3390/healthcare10061061
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author Cordunianu, Mihai Alexandru
Antoniac, Iulian
Niculescu, Marius
Paltanea, Gheorghe
Raiciu, Anca Daniela
Dura, Horatiu
Forna, Norin
Carstoc, Ioana Dana
Cristea, Mihai Bogdan
author_facet Cordunianu, Mihai Alexandru
Antoniac, Iulian
Niculescu, Marius
Paltanea, Gheorghe
Raiciu, Anca Daniela
Dura, Horatiu
Forna, Norin
Carstoc, Ioana Dana
Cristea, Mihai Bogdan
author_sort Cordunianu, Mihai Alexandru
collection PubMed
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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spelling pubmed-92228362022-06-24 Treatment of Knee Osteochondral Fractures Cordunianu, Mihai Alexandru Antoniac, Iulian Niculescu, Marius Paltanea, Gheorghe Raiciu, Anca Daniela Dura, Horatiu Forna, Norin Carstoc, Ioana Dana Cristea, Mihai Bogdan Healthcare (Basel) Article 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. MDPI 2022-06-08 /pmc/articles/PMC9222836/ /pubmed/35742112 http://dx.doi.org/10.3390/healthcare10061061 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cordunianu, Mihai Alexandru
Antoniac, Iulian
Niculescu, Marius
Paltanea, Gheorghe
Raiciu, Anca Daniela
Dura, Horatiu
Forna, Norin
Carstoc, Ioana Dana
Cristea, Mihai Bogdan
Treatment of Knee Osteochondral Fractures
title Treatment of Knee Osteochondral Fractures
title_full Treatment of Knee Osteochondral Fractures
title_fullStr Treatment of Knee Osteochondral Fractures
title_full_unstemmed Treatment of Knee Osteochondral Fractures
title_short Treatment of Knee Osteochondral Fractures
title_sort treatment of knee osteochondral fractures
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222836/
https://www.ncbi.nlm.nih.gov/pubmed/35742112
http://dx.doi.org/10.3390/healthcare10061061
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