| Autor: |
Scranton PE Jr; University of Washington, Seattle, WA, USA. piercescranton@hotmail.com, Frey CC, Feder KS |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of bone and joint surgery. British volume [J Bone Joint Surg Br] 2006 May; Vol. 88 (5), pp. 614-9. |
| DOI: |
10.1302/0301-620X.88B5.17306 |
| Abstrakt: |
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. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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