Bioabsorbable Pins for Treatment of Osteochondral Fractures of the Knee after Acute Patella Dislocation in Children and Young AdolescentsReportar como inadecuado




Bioabsorbable Pins for Treatment of Osteochondral Fractures of the Knee after Acute Patella Dislocation in Children and Young Adolescents - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Advances in OrthopedicsVolume 2012 2012, Article ID 249687, 4 pages

Clinical Study

1st Department of Orthopaedic Surgery, P. & A. Kyriakou Children’s Hospital, Athens, Greece

3rd Department of Orthopaedic Surgery, KAT Trauma Hospital, University of Athens, Greece

Department of Orthopaedic Surgery, University of Bern, Inselspital, Switzerland

Received 2 April 2012; Accepted 30 April 2012

Academic Editor: Virak Tan

Copyright © 2012 A. Gkiokas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A retrospective study was performed on the use of bioabsorbable pins in the fixation of osteochondral fractures OCFs after traumatic patellar dislocation in children. Eighteen children 13 females, 5 males aged 11 to 15 years mean age 13.1 years with osteochondral fracture OCF of the knee joint were treated at the authors’ institution. Followup ranged from 22 months to 5 years. Diagnosis was verified by X-ray and magnetic resonance imaging MRI of the knee and patella. In seven patients the osteochondral fragment was detached from the patella and in 11 it was detached from the lateral femoral condyle. All patients were subjected to open reduction and fixation of the lesion with bioabsorbable pins. Postoperatively, the knee was immobilized in a cast and all patients were mobilized applying a standardized protocol. Bone consolidation was successful in 17 of the 18 patients. Bioabsorbable pins reliably fix OCF in children and adolescents, demonstrating a high incidence of consolidation of the detached osteochondral fragment in short- and middle-term followup without requiring further operative procedures.





Autor: A. Gkiokas, L. G. Morassi, S. Kohl, C. Zampakides, P. Megremis, and D. S. Evangelopoulos

Fuente: https://www.hindawi.com/



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