Treatment tactics for könig and lawen diseases in children

We present the results as well as our experience in observation and treatment of 54 patients aged from 7 to 15 years with femoral condyle osteochondrosis dissecans (31) and patella chondromalacia (23). Application of arthroscopic methods in complex diagnosis enabled us to differentiate the stages of the disease with regard for roentgenological and intraarticular (endoscopic) changes. For the stimulation of regeneration in the zone of osteonecrosis both conservative (electromagnetic) and suigical (endoscopic oste- operforation, insertion of bone allopins, etc.) methods were used. Radionucleid method was used for the objective evaluation of the treatment results.