Higuera J, Laguna R, Peral M, Aranda E, Soleto J
Pediatriic Surgery Service, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
J Pediatr Orthop. 1998 May-Jun;18(3):328-32.
Between 1985 and 1996, our Service treated 18 cases of osteochondritis dissecans of the talus in children and adolescents. The lesion is more frequent during childhood than previously thought. Different theories about the etiology of the lesion and the various treatments used are discussed. The outcome was satisfactory in most cases. We consider that, with the exception of type IV Berndt and Harty lesions, preliminary treatment should be conservative, which gave good results in our study. Surgical treatment should be reserved for patients with an unsatisfactory evolution with orthopaedic treatment, with lesions with thick sclerotic edges, or for patients with loose intraarticular fragments.
1985年至1996年间，我们的科室治疗了18例儿童和青少年距骨剥脱性骨软骨炎。该病变在儿童期比以前认为的更为常见。文中讨论了关于该病变病因的不同理论以及所采用的各种治疗方法。大多数病例的治疗结果令人满意。我们认为，除了IV型Berndt和Harty病变外，初始治疗应采用保守治疗，这在我们的研究中取得了良好效果。手术治疗应保留给那些经骨科治疗效果不佳、病变边缘有增厚硬化或有关节内游离碎片的患者。
