JIANG Xin,LI Jian,LIU Li jun,et al.Arthroscopic therapy of osteochondral fractures of the Knee in children.[J].Journal of Clinical Pediatric Surgery,,10():0.
Arthroscopic therapy of osteochondral fractures of the Knee in children.
- Keywords:
- Knee Joint; Cartilage; Arthroscopes; Child
- Abstract:
- Objective To investigate the arthroscopic operative procedure and the therapeutic effects of patella and femur condyle osteochondral fracture of knee joint in children.MethodsFrom 2008 to 2010, 9 patients with patella and femur condyle osteochondral fracture of knee joint were treated with arthroscopic diagnosis and therapy. There were 3 males and 6 females, aged from 7 to 15 years (11.3 years on average), course of disease from 3 days to 4 weeks (1 week on average). There were 4 left and 5 right, including 4 cases of patella, 3 cases of femoral condyle, 2 cases of lateral condyle. 3 cases of simple fracture of the cartilage, as modified Outerbridge grade III level, 6 cases of fractures involving the subchondral bone, as modified Outerbridge grade IV level. 1 case was treated with absorbable screw fixation, 2 cases were dealed by microfracture surgery to stimulate cartilage growth drilling, joint debridement alone in 6 cases.ResultsAll incisions healed by first intention, no related complications occurred. 5 to 7 days after knee swelling and pain disappeared, back to school about 2 weeks, 6 weeks of knee protection removal of the normal weightbearing knee brace started work. A total of 9 patients were followed up 3 months to 9 months (6 months on average). All cases were excellent knee Lysholms score and more than 4 mean Tegner activity level scale improved. The original symptoms in children were disappeared, restore normal knee function.ConclusionFor children with simple knee osteochondral fracture, early diagnosis and treatment by arthroscope is an effective treatment.
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Memo
作者单位：四川大学华西医院（成都，610041），1，小儿外科；2，骨科，Email: jiangxin@cd120.com·