Outcomes of Bone Marrow Stimulation for Secondary Osteochondral Lesions of the Talus Equal Outcomes for Primary Lesions
| Autor: | Quinten Rikken, Jari Dahmen BSc,BSc(Med), Christiaan v. Van Bergen, Sjoerd A. Stufkens MD, PhD, Gino Kerkhoffs MD |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Foot & Ankle Orthopaedics Foot & Ankle Orthopaedics, Vol 7 (2022) |
| ISSN: | 2473-0114 |
| DOI: | 10.1177/2473011421s00417 |
| Popis: | Category: Ankle Introduction/Purpose: To compare clinical, sports, work, and radiological outcomes between primary and secondary OLTs (Methods: Ethical approval was obtained before the start of the study. A power analysis was performed for the primary outcome measure, the Numeric Rating Scale (NRS) during activities. Secondary OLTs were matched to primary OLTs in a 1:2 ratio using lesion size, patient age, body mass index, and sex as prognostic covariates to control for confounding. Secondary outcomes included pre- and one-year postoperative clinical assessment of the NRS at rest, American Orthopaedic Foot & Ankle Society (AOFAS) score, Foot and Ankle Outcome Score (FAOS) subscales, and the EQ-5D general health questionnaire. The rates and time to return to work and sports were collected. Radiological examinations were performed preoperatively and at final follow-up using computed tomography (CT). The postoperative outcomes were compared with a Wilcoxon rank-sum test; a univariate linear regression analysis was used to investigate the influence of covariates on clinical outcome scores. Results: After matching, 22 and 12 patients with smaller (Conclusion: No differences in outcomes were observed between arthroscopic bone marrow stimulation in primary and secondary OLT at one-year follow-up. Repeat BMS may therefore be a viable treatment option for failed OLTs in the short term. |
| Databáze: | OpenAIRE |
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