Combined reconstruction of femoral condylar osteochondral defects in adolescents: clinical cases and a review

• Published in: Ortopedii͡a︡, travmatologii͡a︡ i vosstanovitelʹnai͡a︡ khirurgii͡a︡ detskogo vozrasta Vol. 13; no. 1; pp. 86 - 96
• Main Authors: Semenov, Sergey Y., Zorin, Vyacheslav I.
• Format: Journal Article
• Language: English
• Published: 18.04.2025
• ISSN: 2309-3994; 2410-8731
• DOI: 10.17816/PTORS649883

BACKGROUND: A leading cause of femoral condylar lesions in children and adolescents is dystrophic processes resulting in subchondral bone destruction followed by overlying cartilage involvement. The most common pathological conditions include osteochondritis dissecans and corticosteroid-induced osteonecrosis. Currently, there is no consensus on the optimal surgical approach for treating osteochondral defects of the femoral condyles. CASE DESCRIPTIONS: Two clinical cases of adolescents with extensive osteochondral defects of the femoral condyles are presented. DISCUSSION: This article provides a review, existing classification systems, and an overview of surgical options for deep osteochondral defects of the femoral condyles. Existing methods induce good to excellent clinical outcomes. However, the absence of randomized and comparative studies of these treatment approaches does not allow for a clear determination of the optimal surgical strategy. In most contemporary studies, outcomes are assessed using indirect imaging methods, which negatively correlate with clinical results and may distort accuracy of treatment outcome interpretation. CONCLUSION: Osteochondral defects of the femoral condyles remain a critical problem in pediatric and adolescent orthopedics and traumatology. Considering the variety of existing surgical techniques (from revascularization osteoperforation to joint replacement), combined reconstruction using autologous bone grafts and collagen membranes may offer stable and favorable clinical and functional outcomes. TRANSLATE with x English Arabic Hebrew Polish Bulgarian Hindi Portuguese Catalan Hmong Daw Romanian Chinese Simplified Hungarian Russian Chinese Traditional Indonesian Slovak Czech Italian Slovenian Danish Japanese Spanish Dutch Klingon Swedish English Korean Thai Estonian Latvian Turkish Finnish Lithuanian Ukrainian French Malay Urdu German Maltese Vietnamese Greek Norwegian Welsh Haitian Creole Persian TRANSLATE with COPY THE URL BELOW Back EMBED THE SNIPPET BELOW IN YOUR SITE Enable collaborative features and customize widget: Bing Webmaster Portal Back