[Osteochondral lesions of the talus : Individualized approach based on established and innovative reconstruction techniques]. / Osteochondrale Läsionen des Talus : Individualisiertes Vorgehen mithilfe etablierter und innovativer Rekonstruktionsverfahren.
Unfallchirurg
; 124(4): 319-332, 2021 Apr.
Article
en De
| MEDLINE
| ID: mdl-33666680
ABSTRACT
Osteochondral lesions (OCL) of the talus are defined as chondral damage with subchondral involvement. The traumatic etiology is important; in particular, sprains and fractures can lead to lesions of the articular surface and the subchondral plate. As a result, unstable lesions and subchondral cysts can trigger substantial persistent pain and functional impairments. A primary conservative treatment can be considered and is especially recommended in children and adolescents; however, return to previous sports activity and level is often not achieved. The principles of reconstructive surgical management include internal fixation of osteochondral fragments, bone marrow stimulation, autologous membrane-augmented chondrogenesis⯱ bone grafting, osteochondral transfer, retrograde techniques⯱ bone grafting, (matrix-associated) autologous chondrocyte implantation and autologous osteoperiosteal graft from the iliac crest. Additional surgical procedures for ankle stabilization and deformity correction should be considered if necessary.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Astrágalo
/
Cartílago Articular
/
Fracturas Intraarticulares
Límite:
Adolescent
/
Child
/
Humans
Idioma:
De
Revista:
Unfallchirurg
Asunto de la revista:
TRAUMATOLOGIA
Año:
2021
Tipo del documento:
Article