Surgical Management of Delayed Presentation of Osteochondral Knee Injuries in Adolescents - Case Series and Literature Review
Orthopedics and Rheumatology - Juniper Publishers Abstract Objective: Osteochondral fractures (OCF) are injuries to the articular surface of a joint containing both cartilaginous and bone components. Various methods have been reported for the treatment of these fractures in the acute setting. There is limited data on delayed fixation. We report two cases of delayed presentation and primary fixation of OCF with bioabsorbable osteochondral dart. Cases: The first case was of a sixteen-year old boy with a twisting knee injury resulting in a displaced 22 mm OCF on the medial facet of the patella, identified on Magnetic Resonance Imaging (MRI). The second case was of a fifteen-year old boy who presented five months following a soccer injury with persistent left knee swelling and pain. MRI identified a displaced 22....