Evaluation of Osteochondritis Dissecans Treatment with Bioabsorbable Implants in Children and Adolescents

Abstract

(1) Background: This is the first systematic review concerning the treatment of osteochondritis dissecans with the use of bioabsorbable implants. The study was done as a comprehensive review to identify important factors affecting the results of OCD treatment in children and adolescents; (2) Methods: We searched electronic bibliographic databases including PubMed, Cochrane Library, Scopus, and Web of Knowledge until May 2022. This systematic review was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and PICO (Patients, Interventions, Comparisons, Outcomes) guidelines; (3) Results: We identified 2662 original papers of which 11 were found to be eligible for further analysis. The study group included a total of 164 OCD lesions in 158 patients. In 94.86% of postoperative cases, there was complete healing or local improvement on follow-up CT or MRI scans. The great majority of patients achieved a good clinical effect. Out of 164 OCD lesions, 10 did not heal (6.09%); (4) Conclusions: Surgical treatment of stable and unstable OCD in children with the use of bioabsorbable implants facilitates a high rate of healing and a good clinical outcome; treatment of juvenile OCD is associated with a better outcome compared to adult OCD; the use of bioabsorbable implants for the treatment of humeral capitellum OCD is associated with a more frequent incidence of synovitis (18.2%).

Radial Nerve Palsy Associated with Humeral Shaft Fractures in Children

“…Patient data, including age, sex, humeral fracture type, nature of radial palsy, method of fracture treatment, method of damaged nerve treatment, and its final effect, were carefully extracted. To reduce bias, each parameter was carefully defined and double-checked by two authors using the Robvis Cochrane tool/ROB2 (Figures 2 and 3) [11].…”

Management of Juvenile Osteochondral Fractures Utilising Absorbable PLGA Implants

“…The existing literature primarily emphasises chronic conditions, specifically osteochondritis dissecans (OCDs) or osteochondral lesions that develop over time. OCDs were initially documented by Konig in 1887, addressing the presence of loose fragments within the knee joint [7][8][9][10], first thought to occur due to significant trauma, repetitive microtrauma or spontaneous necrosis. However, nowadays the term refers to an area of necrosis of the subchondral bone, which may or may not be separated from the articular surface [7][8][9][10].…”

“…OCDs were initially documented by Konig in 1887, addressing the presence of loose fragments within the knee joint [7][8][9][10], first thought to occur due to significant trauma, repetitive microtrauma or spontaneous necrosis. However, nowadays the term refers to an area of necrosis of the subchondral bone, which may or may not be separated from the articular surface [7][8][9][10]. In this report, we will concentrate on OCFs in an acute setting.…”

Management of Juvenile Osteochondral Fractures Utilising Absorbable PLGA Implants

“…The existing literature primarily emphasises on chronic conditions, specifically osteochondritis dissecans (OCD) or osteochondral lesions that develop over time. OCD was initially documented by Konig in 1887, addressing the presence of loose fragments within the knee joint [7][8][9][10]. At first, thought to occur due to significant trauma, repetitive microtrauma or spontaneous necrosis.…”

“…At first, thought to occur due to significant trauma, repetitive microtrauma or spontaneous necrosis. However, nowadays the term refers to an area of necrosis of the subchondral bone, which may or may not be separated from the articular surface [7][8][9][10]. In this report, we will concentrate on OCFs in an acute setting.…”