Extra-articular Drilling for Adolescents with Osteochondritis Dissecans of the Talus
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چکیده
This open-access article is published and distributed under the Creative Commons Attribution NonCommercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article without the permission of the Author(s). For reprints and permission queries, please visit SAGE’s Web site at http://www.sagepub.com/journalsPermissions.nav. Extra-articular Drilling for Adolescents with Osteochondritis Dissecans of the Talus: A Lost Cause or a Call to Develop Better Treatment?
منابع مشابه
Treatment of juvenile osteochondritis dissecans of the talus: current concepts review.
Juvenile osteochondritis dissecans of the talus (JODT) affects the subchondral bone primarily and, in a skeletally immature population, articular cartilage secondarily. It probably consists of aseptic bone necrosis whose spontaneous healing is impaired by microtraumas, resulting in an osteochondral injury and, in some cases, in osteoarthritis. In many cases the clinical presentation is asymptom...
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Osteochondral lesion of the talus (OLT) is a broad term used to describe an injury or abnormality of the talar articular cartilage and adjacent bone. A variety of terms have been used to refer to this clinical entity including osteochondritis dissecans, osteochondral fracture, and osteochondral defect. Whether OLT of the talus is a precursor to more generalized arthrosis of the ankle remain unc...
متن کاملOsteochondritis dissecans of the talus. The late results of surgical treatment.
Thirty-five cases of osteochondritis dissecans of the talus, operated on between 1950 and 1978, were studied. Twenty-four were available for follow-up an average of 47 months later. Three standard surgical approaches were used, and the osteochondritic fragment removed. In some cases the base of the defect was drilled. Good results were obtained in 15 patients, and fair in nine. There were no po...
متن کامل3D imaging (ARCADIS)-based Computer Assisted Surgery (CAS) guided retrograde drilling in osteochondritis dissecans of the talus.
The goal in osteochondral defects of the talus in Stages I and II according to Berndt and Harty is revascularization of the lesion.3 A debridement of the chondral part is required if symptomatic.1,24 This debridement is limited to loose cartilage or cartilage with poor quality.1,22,24 Subchondral drillings of the lesion allow a revascularization. Retrograde drillings leave the chondral surface ...
متن کاملOsteochondritis dissecans of the talus.
Osteochondritis dissecans (OCD) is an acquired idiopathic lesion of subchondral bone that can produce delamination and sequestration with or without articular cartilage involvement and instability. The cause of OCD is still debated: the most recognized etiology is the occurrence of repetitive micro-traumas associated with vascular impairment, causing progressive ankle pain and dysfunction in sk...
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عنوان ژورنال:
دوره 3 شماره
صفحات -
تاریخ انتشار 2015