Osteochondral knee injuries due to overuse in adults, current therapeutic surgical techniques. Report of two clinical cases

Abstract

Introduction Osteochondrial knee lesions consist of a localized anomaly that affects the subcondral marrow, the subcondral bone and the articular cartilage, are a clinical challenge, mainly in young patients. The pains present in this group of patients greatly affect their quality of life, limiting their physical activity and osteomuscular development. Currently there are surgical techniques that can remedy these disorders, improving the lifestyle of patients.
Objectives: to describe two clinical cases of osteochondral knee injuries due to overuse in adults, and to determine the most current therapeutic surgical techniques.
Materials and methods: A descriptive, retrospective study is performed to present clinical cases, informed consent is obtained from the teaching and research department , for review of clinical history and images that will be used in the publication of this work.
Discussion: We present two clinical cases of patients who develop osteochondrial lesions of the knee, which are diagnosed and operated on by performing knee arthroscopy affects, and whose long-term results have not been entirely satisfactory, so it would merit performing cartilage restoration procedures, using microfracture techniques and autologous transplantation.
Conclusions: osteochondrial lesions are common disorders in athletes, currently we have diagnostic and therapeutic techniques such as knee arthroscopy, but the application of other techniques such as microfracture and autologous transplantation for cartilage renewal should be considered a gold standard and thus be able to provide symptomatic relief improving the quality of life by repairing the surface of the articular cartilage