We prospectively studied the clinical, arthroscopic and histological results of collagen-covered autologous chondrocyte implantation (ACI-C) in patients with symptomatic osteochondritis dissecans of the knee. The study included 37 patients who were evaluated at a mean follow-up of 4.08 years. Clinical results showed a mean improvement in the modified Cincinnati score from 46.1 to 68.4. Excellen...

Osteochondritis of the femoral condyles can be defined as a localized alteration of the trophism of the epiphyseal bone and articular cartilage opposite which may, without scarring, and necrosis to the release of an osteochondral fragment. This lesion is relatively rare, with around 20 per 100,000 boys and girls, and occurs in 70% of cases between 10 and 20 years. The pathophysiology of this co...

Osteochondritis dissecans of the knee, despite its cause, is characterized by the impairment of the subchondral bone. Failure of its spontaneous healing makes surgical fixation often necessary. The patella is less affected than other locations in the knee. Its surgical treatment remains a challenge due to the thickness of the lesion and the complex approach of the retropatellar cartilage. Arthr...

OBJECTIVE: Orthopedic problems in children and adolescents are quite frequent. For that reason, our aim was to give a remarkable insight into five selected topics: spinal deformities, osteochondritis, growing pains, back pain, and corrective shoes. METHODS: We analyzed general concepts of spinal deformities, including the general definition of scoliosis and its etiologic classification. We also...

Thirty-five cases of osteochondritis dissecans of the talus, operated on between 1950 and 1978, were studied. Twenty-four were available for follow-up an average of 47 months later. Three standard surgical approaches were used, and the osteochondritic fragment removed. In some cases the base of the defect was drilled. Good results were obtained in 15 patients, and fair in nine. There were no po...

Osteochondritis dissecans (OCD) can affect both adults and children, however the imaging characteristics and significance of imaging findings can differ in the juvenile subset with open physes. Radiography and magnetic resonance imaging (MRI) are the primary modalities used to aid in diagnosis, to define a treatment plan, to monitor progress, to assess surgical intervention, and to identify pos...