DOI: 10.24075/brsmu.2018.020


Knee osteochondritis desiccans: surgery algorithm

Egiazaryan KA, Lazishvili GD, Hramenkova IV, Shpak MA, Badriev DA
About authors

Department of Traumatology, Orthopedics and Field Surgery, Faculty of Pediatrics,
Pirogov Russian National Research Medical University, Moscow

Correspondence should be addressed: Guram Davidovich Lazishvili
ul. Ostrovityanova, 1, Moscow, 117997; 89166575996; moc.liamg@zalmarug

Received: 2018-05-16 Accepted: 2018-06-23

Knee osteochondritis desiccans, or Koenig's disease, is commonly found in active young people engaged in manual labor, sports etc., i.e. socially active population. Today, we have a good number of surgical method to treatment of this disorder; however, there is still much controversy about their application, and no single approach is considered to be the optimal one. Plus, high-quality biomaterials required for the intervention are sometimes unavailable. The analysis of the results of treatment of patients (spanning several years) proved urgency of the problem and highlighted the necessity to solve a number of related issues. This paper presents the algorithm of surgical treatment of knee osteochondritis desiccans. We have provided surgery validation criteria, suggested optimal methods of correction of local cartilage defects (depending on the degree of damage and patient's age) and outlined some recommendations based on our practical experience.

Keywords: osteochondritis dissecans, knee joint, local cartilage defects, Koenig's disease, osteochondral defect, collagen scaffold, mosaic plastic