Osteochondritis dissecants of the femur in children. Treatment. Modern tendencess

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Abstract

Osteochondritis dissecants is a pathological condition characterized by the manifestation of subchondral osteonecrosis, which subsequently leads to the separation of the cartilage plate from the femoral condyle. It is a serious condition that can significantly affect patients' quality of life. Despite a significant amount of research, there is still a need to better understand this pathology and to develop effective diagnostic and treatment strategies to achieve optimal clinical outcomes. The aim of this work was to analyze the literature on osteochondritis dissecants of the knee joint and to substantiate modern treatment methods for this disease, as well as to find out the preferred treatment options depending on the age group of patients. Literature sources were analyzed. The search was carried out in the databases RSCI, NCBI Pubmed, Medline for the last 10 years. Osteochondritis dissecants is a disease requiring a modern approach to treatment. With the advent of new technologies and techniques, various therapeutic options have emerged, such as collagen membrane replacement of the defect, mosaic chondroplasty, etc. However, the question of the preferred treatment method remains relevant, especially in view of the age-related characteristics of patients. An individualized approach, taking into account their age, stage of injury and clinical features, is an important aspect for effective treatment of osteochondritis dissecants. Further research and clinical follow-up are needed to better define the most effective treatment strategies and prevent complications.

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About the authors

Alexander G. Yeltsin

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: Agyeltsin@mail.ru
ORCID iD: 0000-0002-7736-9493
SPIN-code: 6411-2484

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Iaroslav A. Ivanov

Priorov National Medical Research Center of Traumatology and Orthopedics

Author for correspondence.
Email: docyaroslav@gmail.com
ORCID iD: 0000-0002-6352-2784
SPIN-code: 5575-4630

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Dmitry S. Mininkov

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: 4504311@mail.ru
ORCID iD: 0000-0002-9490-6932
SPIN-code: 1494-3179

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Daria A. Gushchina

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: gushchina-DA@yandex.ru
ORCID iD: 0000-0003-1877-3557
Russian Federation, Moscow

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2. Fig. 1. a — variant of a mosaic defect, completely filled with bone and separated from the epiphysis by a solid line, b — second variant with a partially filled defect, c — third type is not filled with bone at all and has an uneven border with the epiphysis, d — fourth variant — multiple centers separated from the epiphysis ossification (L. Jans et al., 2012)

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