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Revista de la Asociación Médica del Centro Médico ABC
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2020, Number 2

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An Med Asoc Med Hosp ABC 2020; 65 (2)

Repair of patellar chondral lesion in pediatric patient

Tarazona VP, Azcona CA, Velutini BR
Full text How to cite this article 10.35366/94371

DOI

DOI: 10.35366/94371
URL: https://dx.doi.org/10.35366/94371

Language: Spanish
References: 30
Page: 153-157
PDF size: 272.49 Kb.


Key words:

Chondral lesion, patella, chondral repair.

ABSTRACT

Chondral lesions are more frequent every day, if not treated properly, they can cause serious sequelae. We present the case of a 15-year-old male patient with grade 3 modified Outerbridge chondral injury on the patella, secondary to a traumatic patellar dislocation. Medial patellofemoral ligament repair was performed and the chondral fragment was reimplanted with suture anchors on a clot base. At fourt months of follow-up. The outcome has been satisfactory results without pain, and with complete range of motion. The aim of this report is to present a clinical case of a patient with a cartilage injury, its treatment and postoperative results.


REFERENCES

  1. Kingma J, Ten Duis HJ. Injuries due to school sports accidents in 4 to 13-years old children. Percept Mot Skills. 2000; 90: 319-325.

  2. Oeppen RS, Connolly SA, Bencardino JT. Acute injury of the articular cartilage and subchondral bone: a common but unrecognized lesion in the immature knee. AJR Am J Roentgenol. 2004; 182 (1): 111-117.

  3. Vilchis H, Vega EA, Valle G. Lesión osteocondral de patela reparada mediante sutura. Presentación de caso. Rev Mex Ortop. 2008; 22 (1): 50-54.

  4. Seeley MA, Knesek M, Vanderhave KL. Osteochondral injury afteracute patellar dislocation in children and adolescents. J Pediatr Orthop. 2013; 33 (5): 511-518.

  5. Salzmann G, Niemeyer P, Hochrein A. Articular cartilage repair of the knee in children and adolescents. Orthop J Sports Med. 2018; 6 (3): 2325967118760190.

  6. Kocher MS, DiCanzio J, Zurakowski D. Diagnostic performance of clinical examination and selective magnetic resonance imaging in the evaluation of intraarticular knee disorders in children and adolescents. Am J Sports Med. 2001; 29: 292-296.

  7. Tavernier T, Dejour D. Knee imaging: what is the best modality. J Radiol. 2001; 82 (pt 2): 387-405 [en francés].

  8. Noyes FR, Stabler CL. A system for grading articular cartilage lesions at arthroscopy. Am J Sports Med. 1989; 17: 505-513.

  9. Lohmander LS, Dahlberg L, Ryd L. Increased levels of proteoglycan fragments in knee joint fluid after injury. Arthritis Rheum. 1989; 32: 1434-1442.

  10. Camp C, Stuart M, Krych A. Current concepts of articular cartilage restoration techniques in the knee. Sports Health 2014; 6 (3): 265-273.

  11. Micheli LJ, Moseley JB, Anderson AF. Articular cartilage defects of the distal femur in children and adolescents: treatment with autologous chondrocyte implantation. J Pediatr Orthop. 2006; 26 (4): 455-460.

  12. Alford J, Cole B. Cartilage restoration, Part 1. Am J Sports Med. 2005; 33 (2): 295-306.

  13. MacConaill MA. The function of intra-articular fibrocartilages, with special reference to the knee and inferior radioulnar joints. J Anat. 1932; 66: 210-227.

  14. Mouzopoulos G, Borbon C, Siebold R. Patellar chondral defects: a review of a challenging entity. Knee Surg Sports Traumatol Arthrosc. 2011; 19 (12): 1990-2001.

  15. Alford J, Cole B. Cartilage restoration, Part 2: techniques, outcomes, and future directions. Am J Sports Med. 2005; 33 (3): 443-460.

  16. Czitrom AA, Langer F, McKee N. Bone and cartilage allotransplantation: a review of 14 years of research and clinical studies. Clin Orthop Relat Res. 2006; 208: 141-145.

  17. Van Jonbergen HP, Poolman RW, van Kampen A. Isolated patellofemoral osteoarthritis. Acta Orthop. 2010; 81 (2): 199-205.

  18. Ozturk A, Ozdemir MR, Ozkan Y. Osteochondral autografting (mosaicplasty) in grade IV cartilage defects in the knee joint: 2 to 7 year results. Int Orthop. 2006; 30 (3): 200-204.

  19. Sanders TL, Pareek A, Johnson NR. Patellofemoral arthritis after lateral patellar dislocation. Am J Sports Med. 2017; 45 (5): 1012-1017.

  20. Cicuttini F, Ding C, Wluka A. Association of cartilage defects with loss of knee cartilage in healthy, middle-age adults: a prospective study. Arthritis Rheum. 2005; 52: 2033-2039.

  21. Davies-Tuck ML, Wluka AE, Wang Y. The natural history of cartilage defects in people with knee osteoarthritis. Osteoarthritis Cartilage. 2008; 16: 337-342.

  22. Pritsch M, Velkes S, Levy O. Suture fixation of osteochondral fractures of the patella. J Bone Joint Surg Br. 1995; 77-B: 154-155.

  23. Kirsch M, Fitzgerald S, Friedman H. Transient patellar dislocation: diagnosis with MR imaging. AJR Am J Roentgenol. 1993; 161 (1): 109-113.

  24. Nomura E, Inoue M, Kobayashi S. Long-term follow-up and osteoarthritis change after medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Am J Sports Med. 2007; 35 (11): 1851-1858.

  25. Van haver A, De Roo K, De Beule M. The effect of trochlear dysplasia on patellofemoral biomechanics: a cadaveric study with simulated trochlear deformities. Am J Sports Med. 2015; 43 (6): 1354-1361.

  26. Cugat R, Garcia M, Cusco X. Osteochondritis dissecans: a historical review and its treatment with cannulated screws. Arthroscopy. 1993; 9: 675-684.

  27. Kivisto R, Pasanen L, Leppilahti J. Arthroscopic repair of osteochondritis dissecans of the femoral condyles with metal staple fixation: a report of 28 cases. Knee Surg Sports Traumatol Arthrosc. 2002; 10: 305-309.

  28. Schwarz C, Blazina ME, Sisto DJ. The results of operative treatment of osteochondritis dissecans of the patella. Am J Sports Med. 1988; 16: 522-528.

  29. Sekiya LC, Fontbote CA, Harner CD. Arthroscopically assisted retrograde fixation of patellar osteochondritis dissecans using fluoroscopic guidance: a case report and technical note. Arthroscopy. 2003; 19: E1-E7.

  30. Gantenbein B. Mesenchymal stem cells and collagen patches for anterior cruciate ligament repair. World Journal of Stem Cells. 2015; 7 (2): 521.




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An Med Asoc Med Hosp ABC. 2020;65