{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T14:41:21Z","timestamp":1773844881113,"version":"3.50.1"},"reference-count":42,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T00:00:00Z","timestamp":1704844800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The incidence of articular injury, particularly osteochondral fractures (OCFs), has seen a cinnotable increase in recent years. Regardless of their location, fragments can be overlooked by plain radiographs, which might lead to osteoarthritis in the long run. Diagnostic imaging has a pivotal role in the assessment and classification of the fracture severity, as well as the presence of any associated dislocations. These fractures require surgical intervention for the restoration of joint function and the reduction of long-term complications. This paper aims to present the surgical correction and post-operative treatment of osteochondral fractures with absorbable implants in four children. The following affected areas are discussed: lateral condyle of the femur, patella and radial head. Utilising absorbable implants for the management of OCFs provides numerous advantages, including the elimination of the need for re-anaesthesia and reoperation, reduction of complications and facilitation of early rehabilitation. This approach also minimises the period of hospitalisation and proves effective in pediatric OCF treatment.<\/jats:p>","DOI":"10.3390\/jcm13020375","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T05:47:21Z","timestamp":1704865641000},"page":"375","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Management of Juvenile Osteochondral Fractures Utilising Absorbable PLGA Implants"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5584-9410","authenticated-orcid":false,"given":"Hermann","family":"Nudelman","sequence":"first","affiliation":[{"name":"Division of Surgery, Traumatology and Otorhinolaryngology, Department of Paediatrics, Clinical Complex, University of P\u00e9cs, 7 J\u00f3zsef Attila Street, 7623 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6705-3292","authenticated-orcid":false,"given":"Aba","family":"L\u0151rincz","sequence":"additional","affiliation":[{"name":"Department of Thermophysiology, Institute for Translational Medicine, Medical School, University of P\u00e9cs, 12 Szigeti Street, 7624 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7748-6729","authenticated-orcid":false,"given":"Anna Gabriella","family":"Lamberti","sequence":"additional","affiliation":[{"name":"Division of Surgery, Traumatology and Otorhinolaryngology, Department of Paediatrics, Clinical Complex, University of P\u00e9cs, 7 J\u00f3zsef Attila Street, 7623 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1293-9918","authenticated-orcid":false,"given":"Marcell","family":"Varga","sequence":"additional","affiliation":[{"name":"Department of Pediatric Traumatology, P\u00e9terfy Hospital, Manninger Jen\u0151 National Trauma Center, 17 Fiumei Street, 1081 Budapest, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Kassai","sequence":"additional","affiliation":[{"name":"Department of Pediatric Traumatology, P\u00e9terfy Hospital, Manninger Jen\u0151 National Trauma Center, 17 Fiumei Street, 1081 Budapest, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3348-5385","authenticated-orcid":false,"given":"Gerg\u0151","family":"J\u00f3zsa","sequence":"additional","affiliation":[{"name":"Division of Surgery, Traumatology and Otorhinolaryngology, Department of Paediatrics, Clinical Complex, University of P\u00e9cs, 7 J\u00f3zsef Attila Street, 7623 P\u00e9cs, Hungary"},{"name":"Department of Thermophysiology, Institute for Translational Medicine, Medical School, University of P\u00e9cs, 12 Szigeti Street, 7624 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e249687","DOI":"10.1155\/2012\/249687","article-title":"Bioabsorbable Pins for Treatment of Osteochondral Fractures of the Knee after Acute Patella Dislocation in Children and Young Adolescents","volume":"2012","author":"Gkiokas","year":"2012","journal-title":"Adv. Orthop."},{"key":"ref_2","first-page":"369","article-title":"Delayed Osteochondral Fracture Fixation of the Knee in a Pediatric Patient","volume":"27","author":"Sari","year":"2020","journal-title":"Turk. J. Trauma Emerg. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1697","DOI":"10.1007\/s00264-013-2076-1","article-title":"Treatment Principles for Osteochondral Lesions in Foot and Ankle","volume":"37","author":"Badekas","year":"2013","journal-title":"Int. Orthop."},{"key":"ref_4","first-page":"e41245","article-title":"A Rare Case of Large Osteochondral Fracture of Patella","volume":"15","author":"Agrawal","year":"2023","journal-title":"Cureus"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.ijscr.2020.11.151","article-title":"Osteochondral Fracture of the Patella without Soft Tissue Injury and with No Dislocation: A Case Report","volume":"78","author":"Alosaimi","year":"2020","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1177\/18632521221133814","article-title":"Adolescent Elbow Osteochondral Lesions Following Prior Elbow Fracture Pinning","volume":"16","author":"Padaki","year":"2022","journal-title":"J. Child. Orthop."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2325967116635515","DOI":"10.1177\/2325967116635515","article-title":"The Incidence of Surgery in Osteochondritis Dissecans in Children and Adolescents","volume":"4","author":"Weiss","year":"2016","journal-title":"Orthop. J. Sports Med."},{"key":"ref_8","unstructured":"Wood, D., Davis, D.D., and Carter, K.R. (2023). StatPearls, StatPearls Publishing."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Wiktor, \u0141., and Tomaszewski, R. (2022). Evaluation of Osteochondritis Dissecans Treatment with Bioabsorbable Implants in Children and Adolescents. J. Clin. Med., 11.","DOI":"10.3390\/jcm11185395"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"38829","DOI":"10.52965\/001c.38829","article-title":"An Update on Osteochondritis Dissecans of the Knee","volume":"14","author":"Tudisco","year":"2022","journal-title":"Orthop. Rev."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"463","DOI":"10.2174\/1874325001509010463","article-title":"Acute Osteochondral Fractures in the Lower Extremities\u2014Approach to Identification and Treatment","volume":"9","author":"Pedersen","year":"2015","journal-title":"Open Orthop. J."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Cordunianu, M.A., Antoniac, I., Niculescu, M., Paltanea, G., Raiciu, A.D., Dura, H., Forna, N., Carstoc, I.D., and Cristea, M.B. (2022). Treatment of Knee Osteochondral Fractures. Healthcare, 10.","DOI":"10.3390\/healthcare10061061"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1055\/s-0038-1625956","article-title":"Osteochondral Injuries of the Knee in Pediatric Patients","volume":"31","author":"Bauer","year":"2018","journal-title":"J. Knee Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1302\/0301-620X.48B3.436","article-title":"Osteochondral Fractures of the Femoral Condyles","volume":"48","author":"Kennedy","year":"1966","journal-title":"J. Bone Jt. Surg. Br."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2385","DOI":"10.1007\/s00264-013-2070-7","article-title":"Treatment of Osteochondral Fractures of the Knee: A Meta-Analysis of Available Scientific Evidence","volume":"37","author":"Angele","year":"2013","journal-title":"Int. Orthop."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1177\/03635465980260031101","article-title":"Articular Cartilage Changes Seen with Magnetic Resonance Imaging-Detected Bone Bruises Associated with Acute Anterior Cruciate Ligament Rupture","volume":"26","author":"Johnson","year":"1998","journal-title":"Am. J. Sports Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1177\/03635465980260012501","article-title":"Articular Cartilage Injury with Acute Patellar Dislocation in Adolescents","volume":"26","author":"Stanitski","year":"1998","journal-title":"Am. J. Sports Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1148\/radiol.2253011578","article-title":"Acute Lateral Patellar Dislocation at MR Imaging: Injury Patterns of Medial Patellar Soft-Tissue Restraints and Osteochondral Injuries of the Inferomedial Patella","volume":"225","author":"Elias","year":"2002","journal-title":"Radiology"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/j.jsams.2008.07.005","article-title":"Incidence of Anterior Cruciate Ligament Injury and Other Knee Ligament Injuries: A National Population-Based Study","volume":"12","author":"Gianotti","year":"2009","journal-title":"J. Sci. Med. Sport"},{"key":"ref_20","first-page":"1","article-title":"The Structure, Physiology, and Biomechanics of Articular Cartilage: Injury and Repair","volume":"41","author":"Tatari","year":"2007","journal-title":"Acta Orthop. Traumatol. Turc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.matbio.2014.08.009","article-title":"The Structure and Function of the Pericellular Matrix of Articular Cartilage","volume":"39","author":"Wilusz","year":"2014","journal-title":"Matrix Biol. J. Int. Soc. Matrix Biol."},{"key":"ref_22","first-page":"81","article-title":"Morphofunctional Features of Articular Cartilage Structure","volume":"59","author":"Lyndina","year":"2019","journal-title":"Folia Medica Cracoviensia"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1038\/nrrheum.2014.157","article-title":"Repair and Tissue Engineering Techniques for Articular Cartilage","volume":"11","author":"Makris","year":"2015","journal-title":"Nat. Rev. Rheumatol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"3640","DOI":"10.3390\/ijms15033640","article-title":"An Overview of Poly(Lactic-Co-Glycolic) Acid (PLGA)-Based Biomaterials for Bone Tissue Engineering","volume":"15","author":"Gentile","year":"2014","journal-title":"Int. J. Mol. Sci."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Gir\u00f3n, J., Kerstner, E., Medeiros, T., Oliveira, L., Machado, G.M., Malfatti, C.F., and Pranke, P. (2021). Biomaterials for Bone Regeneration: An Orthopedic and Dentistry Overview. Braz. J. Med. Biol. Res., 54.","DOI":"10.1590\/1414-431x2021e11055"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Rocha, C.V., Gon\u00e7alves, V., da Silva, M.C., Ba\u00f1obre-L\u00f3pez, M., and Gallo, J. (2022). PLGA-Based Composites for Various Biomedical Applications. Int. J. Mol. Sci., 23.","DOI":"10.3390\/ijms23042034"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1186\/s13018-020-01858-5","article-title":"MRI Evaluation of Resorbable Poly Lactic-Co-Glycolic Acid (PLGA) Screws Used in Pelvic Osteotomies in Children\u2014A Retrospective Case Series","volume":"15","author":"Hedelin","year":"2020","journal-title":"J. Orthop. Surg."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Heye, P., Matissek, C., Seidl, C., Varga, M., Kassai, T., Jozsa, G., and Krebs, T. (2022). Making Hardware Removal Unnecessary by Using Resorbable Implants for Osteosynthesis in Children. Children, 9.","DOI":"10.3390\/children9040471"},{"key":"ref_29","first-page":"5","article-title":"Operative technique features in application of bioabsorbable implants for limb fractures treatment","volume":"2","author":"Golubev","year":"2017","journal-title":"Surg. Pract."},{"key":"ref_30","unstructured":"(2023, August 05). Whitepapers\u2014Bioretec Ltd. Available online: https:\/\/bioretec.com\/educational-materials\/whitepapers?medical_professional=on&category=12."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1007\/s43465-020-00338-6","article-title":"Management of Physeal Fractures: A Review Article","volume":"55","author":"Singh","year":"2021","journal-title":"Indian J. Orthop."},{"key":"ref_32","unstructured":"(2023, August 06). ActivaNailTM\u2014Bioabsorbable Nail\u2014Bioretec Ltd. Available online: https:\/\/bioretec.com\/products\/8\/activanail-bioabsorbable-nail."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"238","DOI":"10.5312\/wjo.v13.i3.238","article-title":"Diagnosis, Treatment and Complications of Radial Head and Neck Fractures in the Pediatric Patient","volume":"13","author":"Macken","year":"2022","journal-title":"World J. Orthop."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1097\/BPO.0000000000000302","article-title":"Intra-Articular Radial Head Fractures in the Skeletally Immature Patient: Complications and Management","volume":"35","author":"Ackerson","year":"2015","journal-title":"J. Pediatr. Orthop."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"753","DOI":"10.3928\/0147-7447-19950801-12","article-title":"The Role of Hip Arthroscopy in the Diagnosis and Treatment of Hip Disease","volume":"18","author":"McCarthy","year":"1995","journal-title":"Orthopedics"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1007\/s002560050618","article-title":"Imaging of Acute Injuries of the Articular Surfaces (Chondral, Osteochondral and Subchondral Fractures)","volume":"28","author":"Bohndorf","year":"1999","journal-title":"Skelet. Radiol."},{"key":"ref_37","first-page":"e41","article-title":"Clinical Orthopedic Examination Findings in the Lower Extremity: Correlation with Imaging Studies and Diagnostic Efficacy","volume":"34","author":"Slaughter","year":"2014","journal-title":"Radiogr. Rev. Publ. Radiol. Soc. N. Am. Inc."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1053\/jars.2003.50041","article-title":"Osteochondral Lesions of the Talus: A New Magnetic Resonance Grading System with Arthroscopic Correlation","volume":"19","author":"Mintz","year":"2003","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg. Off. Publ. Arthrosc. Assoc. N. Am. Int. Arthrosc. Assoc."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"127","DOI":"10.2214\/ajr.167.1.8659356","article-title":"Fat-Suppressed Three-Dimensional Spoiled Gradient-Echo MR Imaging of Hyaline Cartilage Defects in the Knee: Comparison with Standard MR Imaging and Arthroscopy","volume":"167","author":"Disler","year":"1996","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e166","DOI":"10.2106\/JBJS.K.01221","article-title":"Outcomes of Operative Treatment of Unstable Ankle Fractures: A Comparison of Metallic and Biodegradable Implants","volume":"94","author":"Noh","year":"2012","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"110423","DOI":"10.1016\/j.msec.2019.110423","article-title":"Clinical complications of biodegradable screws for ligament injuries","volume":"109","author":"Ramos","year":"2020","journal-title":"Mater. Sci. Eng. C"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.jor.2021.04.006","article-title":"A meta-analysis comparing the outcomes of syndesmotic injury treated with metal screw, dynamic fixation, and bioabsorbable screw","volume":"25","author":"Liu","year":"2021","journal-title":"J. Orthop."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/2\/375\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:43:37Z","timestamp":1760103817000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/2\/375"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,10]]},"references-count":42,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,1]]}},"alternative-id":["jcm13020375"],"URL":"https:\/\/doi.org\/10.3390\/jcm13020375","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,10]]}}}