Juvenile osteochondritis dissecans in the lateral femoral condyle requiring osteochondral autograft as a revision procedure: a case report

Journal of Medical Case Reports
Ryo KantoShinichi Yoshiya

Abstract

The optimal treatment option for osteochondritis dissecans of the knee is still controversial. We report the case of a boy who developed osteochondritis dissecans in the lateral femoral condyles of his bilateral knees requiring repeat surgical procedures. There has been no literature reporting juvenile osteochondritis dissecans of bilateral knees requiring repeat surgical procedures. A 6-year-old Japanese boy presented with pain in his bilateral knees. Although conservative treatment with prohibition of sports activities was continued for 6 months, healing could not be attained. Conservative treatment consisting of prohibition of sports activities that included running and jumping and use of a brace with a locking mechanism at full extension was applied. He was instructed to walk with the brace. Since his lateral femoral osteochondritis dissecans lesion was located at the contact area during flexion, weight bearing with the use of the brace could effectively unload the lesion. Surgery was subsequently conducted on his left knee which had a more advanced stage lesion. Transchondral drilling was performed because the articular surface maintained its smooth continuity. At 9 months after the surgery, no appreciable healing was obse...Continue Reading

References

Aug 1, 1989·The Journal of Bone and Joint Surgery. British Volume·J Bradley, D J Dandy
Jan 1, 1984·Archives of Orthopaedic and Trauma Surgery·R BrücklG Thiermann
Jun 1, 1994·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·P AgliettiM Fioriti
Jun 1, 1997·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·A F AndersonW D Hovis
May 7, 1999·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·G C BerletA Miniaci
Oct 8, 1999·Journal of Pediatric Orthopedics. Part B·F HeftiR Zeller
Jul 1, 1995·The Journal of the American Academy of Orthopaedic Surgeons·B R Cahill
May 23, 2002·The American Journal of Sports Medicine·Yusuke YoshizumiShingo Maeda
Feb 10, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Dennis C Crawford, Marc R Safran
Jun 24, 2006·The American Journal of Sports Medicine·Mininder S KocherJohn M Flynn
Aug 8, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Anthony Miniaci, Graham Tytherleigh-Strong
Dec 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Eric J WallTimothy E Hewett

❮ Previous
Next ❯

Citations

May 14, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yasuaki NakagawaTakashi Nakamura
Feb 13, 2021·Case Reports in Orthopedics·Takuto TakedaTakahisa Sasho

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.