One step treatment of talus osteochondral lesions with microfracture and cell free hyaluronic acid based scaffold combination.
Acta Orthop Traumatol Turc
; 53(5): 372-375, 2019 Sep.
Article
de En
| MEDLINE
| ID: mdl-31126702
ABSTRACT
OBJECTIVE:
The aim of this study was to assess the effectiveness of microfracture and cell free hyaluronic acid (HA) based scaffold combination in the treatment of talus osteochondral defects (OCD).METHODS:
This study retrospectively evaluated the clinical results of the 20 patients (14 males and 6 females, mean age at the time of surgery 32.9 years (range 16-52 years)) who were treated with MFx and cell-free HA-based scaffold combination for talus OCD smaller than 1.5 cm2 and deeper than 7 mm. Results were evaluated with AOFAS and VAS scores. Also, patients' satisfaction was questioned.RESULTS:
Patients were evaluated after an average follow-up of 20.3 months. Intraoperative measurements showed that mean depth of the lesions were 10.4 ± 1.9 mm after debridement. The mean preoperative AOFAS score was 57.45 ± 9.37, which increased to 92.45 ± 8.4 postoperatively (p < 0.05). VAS score was improved from 7.05 ± 2.45 to 1.65 ± 2.20 postoperatively (p < 0.05).CONCLUSION:
MFx and cell-free HA-based scaffold combination appear to be a safe and efficient technique that provide good clinical outcomes for lesions deeper than 7 mm. LEVEL OF EVIDENCE Level IV, Therapeutic Study.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Ostéochondrite disséquante
/
Talus
/
Fractures de fatigue
/
Chondroplastie
/
Structures d'échafaudage tissulaires
/
Acide hyaluronique
Type d'étude:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Limites:
Adult
/
Female
/
Humans
/
Male
Langue:
En
Journal:
Acta Orthop Traumatol Turc
Sujet du journal:
ORTOPEDIA
/
TRAUMATOLOGIA
Année:
2019
Type de document:
Article
Pays d'affiliation:
Turquie