The effectiveness of conservative treatment in juvenile knee osteochondritis dissecans - a systematic literature review
Pulles, Kadri (2017)
Pulles, Kadri
Satakunnan ammattikorkeakoulu
2017
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2017091415080
https://urn.fi/URN:NBN:fi:amk-2017091415080
Tiivistelmä
The purpose of this thesis is to present a compilation of information about juvenile knee osteochondritis dissecans (JOCD) and to conduct a systematic literature review. The thesis will review and analyse previous studies to give an overview and determine what is the healing rate of stable JOCD lesions with conservative treatment.
The first half of the thesis gives an overview of knee joint, JOCD itself and its treatment. The second part focuses on literature review regarding stable JOCD lesion healing rate with conservative treatment. The search for free full access articles was made using three online databases: PubMed, ScienceDirect Journal and EBSCO aimed to find the most recent articles (published 2000 or later). Three articles fulfill named criteria that is analyzed in detail at latter part of the thesis.
All three studies showed that stable JOCD healing has positive outcome when treated conservatively. Two of the studies showed that healing of JOCD is slow, but the healing potential is higher than 50%. (Gebarski & Hernandez 2005, 882; Wall et al, 2008). One study (Krause et al. 2013, 2661) demonstrated a healing rate of 66% after conservative treatment. Based on the studied articles can be concluded that conservative treatment for stable juvenile osteochondritis dissecans knee lesions is justified. Also, early treated JOCD has higher rate of spontaneous healing.
The first half of the thesis gives an overview of knee joint, JOCD itself and its treatment. The second part focuses on literature review regarding stable JOCD lesion healing rate with conservative treatment. The search for free full access articles was made using three online databases: PubMed, ScienceDirect Journal and EBSCO aimed to find the most recent articles (published 2000 or later). Three articles fulfill named criteria that is analyzed in detail at latter part of the thesis.
All three studies showed that stable JOCD healing has positive outcome when treated conservatively. Two of the studies showed that healing of JOCD is slow, but the healing potential is higher than 50%. (Gebarski & Hernandez 2005, 882; Wall et al, 2008). One study (Krause et al. 2013, 2661) demonstrated a healing rate of 66% after conservative treatment. Based on the studied articles can be concluded that conservative treatment for stable juvenile osteochondritis dissecans knee lesions is justified. Also, early treated JOCD has higher rate of spontaneous healing.