Chondral and osteochondral lesions of the ankle. Clinical appearance, diagnostic methods and therapy
Autor: | G. Öttl, V. Martinek, Andreas B. Imhoff |
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Rok vydání: | 1998 |
Předmět: |
Arthrotomy
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Bone pathology Arthroscopy food and beverages Curettage Surgery Transplantation medicine.anatomical_structure Orthopedic surgery Fracture fixation Emergency Medicine Medicine Orthopedics and Sports Medicine Radiology Ankle business |
Zdroj: | Der Unfallchirurg. 101:468-475 |
ISSN: | 1433-044X 0177-5537 |
DOI: | 10.1007/s001130050297 |
Popis: | Chondral and osteochondral lesions as well as bone bruises of the ankle are caused in the most cases by trauma and are localized almost exclusively at the talus. For diagnosis, operative management and follow up, magnetic resonance imaging was useful, which can be further improved by application of intravenous or intraarticullar contrast enhancement (Gadolinium). In adults operative therapy is favored. Due to new techniques, arthroscopy became an important alternative to arthrotomy. According to the stage of the disease, drilling or curettage, removal or fixation of the fragment, autologous bone transplantation or osteochondral graft can be performed. All procedures can be managed arthroscopically. |
Databáze: | OpenAIRE |
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