Treatment of Osteochondral Lesions of the Talus by Means of Thearthroscopy-assisted Microperforation Technique.
نویسندگان
چکیده
OBJECTIVE To evaluate patients affected by osteochondral fractures of the talus who were treated surgically by means of arthroscopy-assisted microperforation. METHODS A retrospective study was carried out on 24 patients with osteochondral lesions of the talus who underwent microperforation assisted by videoarthroscopy of the ankle. They were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) score system before and after the operation. RESULTS There were 19 men and 5 women, with a mean age of 35.3 years (minimum of 17 years and maximum of 54 years). The minimum follow-up was two years (maximum of 39 months). All the patients showed an improvement in AOFAS score after surgery, with an average improvement of around 22.5 points. CONCLUSION Videoarthroscopy-assisted microperforation is a good option for treating osteochondral lesions of the talus and provides good functional results.
منابع مشابه
Osteochondral Autologous Transfer and Bulk Allograft for Biological Resurfacing of Large Osteochondral Lesions of the Talus
Osteochondral lesions of the talus that have previously undergone surgical management or involve the shoulder region of the talus require methods other than microfracture for treatment. For those lesions that have failed microfracture and do not involve the shoulder of the talus, osteochondral autologous transfer is our preferred treatment of choice. Perpendicular access to the lesion, often by...
متن کاملTreatment of Osteochondral Lesions of the Talus With Cell-free Polymer-based Scaffold in Single-Step Arthroscopic Surgery
Arthroscopic techniques have recently gained popularity for the treatment of osteochondral defects of the talus. The microfracture procedure is the most commonly applied arthroscopic technique. However, it is not effective for the treatment of larger lesions. Tissue-engineered scaffolds have been used for cartilage regeneration arthroscopically, and promising results have been reported. We trea...
متن کاملOsteochondral lesions of the talus.
Osteochondral lesions of the talus (OLT) are rare joint disorders. The talus is the third most common location of this disorder, following the knee and elbow joints. OLT represents 4% of all osteochondral lesions in the body. This article discusses the surgical treatment and postoperative rehabilitation of osteochondral lesions of the talus.
متن کاملArthroscopic treatment of chronic osteochondral lesions of the talus: long-term results.
BACKGROUND Osteochondral lesions of the talus are relatively uncommon but may be a cause of significant pain and disability in symptomatic patients. HYPOTHESIS Arthroscopic treatment of osteochondral lesions of the talus will result in good long-term clinical outcomes in the majority of patients. STUDY DESIGN Case series; Level of evidence, 4. METHODS Fifty patients with chronic osteochon...
متن کاملOsteochondral lesions of the talus.
Osteochondral lesions of the talus can present as a late complication of ankle injuries. As the talus is largely covered by articular cartilage, it has a limited ability for repair. Early and accurate diagnosis is important as talar integrity is required for optimal function of the ankle. The common presentation is chronic ankle pain with a history of ankle trauma. Conservative treatment involv...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Revista brasileira de ortopedia
دوره 46 6 شماره
صفحات -
تاریخ انتشار 2011