Abstract
We reviewed the cases of seven knees in six patients, 5 males and 1 female between 11 and 17 years old, with osteochondritis dissecans of the femoral condyles. The lesions were seen in the classical site in 3 knees, the extended classical site in 1, the medial infero-central site in 1 and the lateral infero-central site in 2. Four patients were engaged in athletics, and in the two patients with osteochondritis dissecans of the lateral femoral condyles, one had an associated discoid lateral meniscus and the other had associated genu valgum.
The etiology of osteochondritis dissecans is multifactorial. In our study, however, repetitive microtrauma was suspected as the cause.
After reviewing the literature the authors synthesized the treatment schema in accordance with age, location of lesion, width of osteochondral defect, the condition of the fragment and associated disorders.
