Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Minimally Invasive Surgery - Knee
Abstract number: 25673
OUR EXPERIENCE OF KNEE JOINT'S ARTHROSCOPY IN YOUNG PATIENTS
Mikhail GERASIMENKO 1 , Eugene ZHUK 1 , Alexandr BELETSKY 2
1 Belarusian state medical university, Minsk (BELARUS), 2 Belarusian research
institute of traumatology and orthopaedics, Minsk (BELARUS)
The purpose of the current report is to describe main knee joint pathology in children
and adolescents.On the basis of children's traumatological-orthopaedic department
of 6th city clinical hospital of Minsk we performed 186 arthroscopies at 174 patients
(92 boys and 82 girls). Middle age of patients was 14,4 years (2-18 years). 119 from
174 patients (68,4%) marked a trauma of knee joint in the anamnesis.The basic
types of a pathology demanding operative arthroscopic intervention on a knee joint
were the followings:1) recent and old damages of meniscuses and ligaments
(35,6%),2) chondral and osteochondral fractures of the patella, condyles of femur
and tibia (17,8 %),3) synovitis of various genesis (14,4%),4) chondromalacia of
various grades (11,5%),5) congenital anomalies of meniscuses (6,9%),6) Koenig
disease (6,3 %), etc.20 of 30 cases (66,7 %) of chondral and osteochondral fractures
of the knee joint’s bones were observed at children till 15 years while 40 of 62 cases
(64,5 %) of damages of meniscuses or ligaments of a knee joint were observed at
adolescents of 16-18 years.It is necessary to note the high diagnostic importance of
arthroscopy. At 54 patients (31 %) the diagnosis established by arthroscopy,
completely has not matched with preoperative diagnosis. In 27 cases (15,5 %)
diagnoses have not coincided partially. The most difficult in diagnostics were
chondral and osteochondral fractures: the incorrect diagnosis has been preliminary
established to 19 of 30 patients with the given pathology.
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