Recurrence of Knee Joint Deformities in Children and Adolescents

Abstract

Knee joint deformities in children and adolescents occur with vitamin deficiency chondrodystrophy or rickets (17.2%), physical dysplasia (14.1%), or their local form, Erlacher-Blount disease (17.2%). In 10.9% of cases, the genesis of the disease cannot be determined. Deformities that can be characterized as acquired are most often the result of hematogenous osteomyelitis or are post-traumatic in nature. In modern Russian and foreign literature, issues related to the clinical and radiological characteristics of knee joint deformities and methods of their treatment have been covered in detail. However, a large number (up to 47% in total) of unsatisfactory results, both in conservative and surgical treatment of knee joint deformities, indicates the continued relevance of the chosen topic and indicates the need to continue its development. In these cases, the recurrence of the deformity is initiated by maintaining the sagging position of one of the condyles of the joint-forming segment. Surgical interventions in the form of subchondral osteotomies, supplemented by dissection or fracture of the bone towards the articular cartilage at the border of the normal and altered areas, were proposed to correct the deformation of the articular plateau