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European Journal of Orthopaedic Surgery & Traumatology

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Open Access 20-02-2024 | Patella Dislocation | Original Article

Pediatric osteochondral fractures: clinical insights associate early diagnosis to early rehabilitation via arthroscopy

Authors: Evmorfia Pechlivanidou, Christos Zambakides, Rodanthi E. Margariti

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 3/2024

Abstract

Purpose

This retrospective observational cohort analysis aims to address diagnostic and therapeutic challenges in managing osteochondral fractures (OCFs) resulting from acute patella dislocation and ankle sprains in children.

Methods

The study includes 15 children treated for OCFs between January 2020 and July 2022. Data were obtained from medical records and analyzed using logistic regression.

Results

The diagnostic and treatment algorithm involves detailed history, clinical examination, and imaging, with MRI guiding therapeutic decisions. Arthroscopic or mini open fixation led to successful rehabilitation, with 93% achieving full mobility at 9 months. Age was identified as a slight risk factor for free fragments in MRI, and arthroscopic management correlated with faster recovery at 3 months.

Conclusion

This study underscores the importance of immediate diagnosis and minimally invasive intervention for OCFs in children. Timely treatment, guided by a diagnostic algorithm, facilitates joint restoration and prevents degenerative consequences, ensuring a return to regular activities within a year postoperatively.

Level of Evidence

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Title: Pediatric osteochondral fractures: clinical insights associate early diagnosis to early rehabilitation via arthroscopy
Authors: Evmorfia Pechlivanidou
Christos Zambakides
Rodanthi E. Margariti
Publication date: 20-02-2024
Publisher: Springer Paris
Keywords: Patella Dislocation
Arthroscopy
Arthroscopy
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 3/2024
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-024-03852-7

At a glance: The STEP trials

Springer Medicine

Pediatric osteochondral fractures: clinical insights associate early diagnosis to early rehabilitation via arthroscopy

Abstract

Purpose

Methods

Results

Conclusion

Level of Evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of Evidence

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