BACKGROUND: There is a paucity of published data regarding the management of @entity1843 ( @entity1843 ) lesions of the patellofemoral joint in @entity1 and adolescents. PURPOSE: To evaluate the functional outcomes of surgical management of @entity1843 lesions of the patella and @entity10460 in @entity1 and adolescents. Secondary aims included elucidating predictors for higher functional outcomes and determining complication rates, surgical satisfaction, and ability to return to sports. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: @entity1 aged 18 years and younger who were surgically treated for @entity1843 or @entity10460 were identified. Charts were queried to record @entity1 /lesion data, surgical procedure, results, and complications. Pre- and postoperative imaging was reviewed. @entity1 were asked to complete a follow-up athletic questionnaire and a Pediatric International Knee Documentation Committee (Pedi-IKDC) questionnaire. Statistical analysis was conducted to look for predictors for reoperation, @entity158 , ability to return to sports, and lower Pedi-IKDC scores. RESULTS: A total of 26 @entity1 (9 females, 17 males, 3 with bilateral lesions; thus, 29 lesions) were identified. The mean age was 14.7 years (range, 9-18, years), 21 of the 29 knees with lesions (72%) had open physes, and median follow-up was 3.8 years (range, 1-9 years). The most common location was the @entity10460 (17/29 lesions; 59%). Twenty-two lesions (76%) underwent transarticular drilling (n = 14) or drilling with fixation (n = 8), while 7 underwent excision and marrow stimulation. Four @entity1 (14%) required unplanned reoperation. Internal fixation was predictive of reoperation (odds ratio [OR] = 8.7; 95% CI, 2.8-26.9; P = .04). At final follow-up, 14 knees (48%) were @entity158 free, and 14 (48%) had mild @entity158 . Female sex was predictive of @entity158 (OR, 9; 95% CI, 2-56; P = .02). Twenty-two @entity1 (85%) returned to sports. Longer duration of preoperative @entity158 negatively affected return to sports (OR, 0.32; 95% CI, 0.05-0.97; P = .04). On postoperative MRI, the lesion appeared completely healed in 2 cases (18%) and partially healed in 9 cases (82%). All 15 survey respondents were satisfied with surgery. The mean Pedi-IKDC score was 82.4    17.8 (range, 40.2-100). CONCLUSION: Surgical treatment of patellofemoral @entity1843 in @entity1 and adolescents produces a high rate of satisfaction and return to sports. Female sex, prolonged duration of symptoms, and internal fixation may be associated with worse outcomes.

Surgical Management of XXXX and Trochlea in the Pediatric and Adolescent Population.

@entity1843 :: ('MESH:D010008', 'Disease') :: ['OCD', 'osteochondritis dissecans', 'OCD of the patella'] @entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients', 'patient'] @entity10460 :: ('MESH:C566022', 'Disease') :: ['trochlea'] @entity158 :: ('MESH:D010146', 'Disease') :: ['residual pain', 'pain']
@entity1843 :: (MESH:D010008,Disease) :: ['Osteochondritis Dissecans Lesions of the Patella']
