Outcome of osteochondral autograft transplantation for type-V cystic osteochondral lesions of the talus.
J Bone Joint Surg Br
; 88(5): 614-9, 2006 May.
Article
em En
| MEDLINE
| ID: mdl-16645106
ABSTRACT
The treatment of osteochondral lesions of the talus has evolved with the development of improved imaging and arthroscopic techniques. However, the outcome of treatment for large cystic type-V lesions is poor, using conventional grafting, debridement or microfracture techniques. This retrospective study examined the outcomes of 50 patients with a cystic talar defect who were treated with arthroscopically harvested, cored osteochondral graft taken from the ipsilateral knee. Of the 50 patients, 45 (90%) had a mean good to excellent score of 80.3 (52 to 90) in the Karlsson-Peterson Ankle Score, at a mean follow-up of 36 months (24 to 83). A malleolar osteotomy for exposure was needed in 26 patients and there were no malleolar mal- or nonunions. One patient had symptoms at the donor site three months after surgery; these resolved after arthroscopic release of scar tissue. This technique is demanding with or without a malleolar osteotomy, but if properly performed has a high likelihood of success.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osteocondrite
/
Tálus
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Transplante Ósseo
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Bone Joint Surg Br
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Estados Unidos