The management of talar osteochondral lesions - Current concepts
| Autor: | Karina T. Wright, Tian Lan, Nilesh Makwana, Charlotte H Hulme, Helen S. McCarthy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Osteoarthritis Review Article Q1 Talus 03 medical and health sciences 0302 clinical medicine Osteochondral defect medicine Orthopedics and Sports Medicine 030222 orthopedics business.industry Surgical care Gold standard Treatment options 030229 sport sciences medicine.disease R1 Surgery Treatment medicine.anatomical_structure surgical procedures operative Subchondral bone Bone marrow Ankle Complication business Osteochondral lesion |
| Zdroj: | Journal of Arthroscopy and Joint Surgery |
| ISSN: | 2214-9635 2542-6001 |
| Popis: | Osteochondral lesions of the talus (OLTs) are a common complication following trauma, involving both the articular cartilage and the underlying subchondral bone, with variable aetiologies and often presenting with non-specific symptoms. Diagnosis of OLTs requires a combination of clinical assessment and imaging and despite many different treatment options, there is no generalised consensus regarding which option is the most effective. Left untreated, OLTs risk progressing to osteoarthritis. Acute non-displaced OLTs can be treated non-operatively. However, OLTs refractory to non-surgical care for three to six months may be suitable for surgical care. In these cases, conservative treatments are often unsuccessful, particularly for larger and more severe defects and so the majority require surgical intervention. Although bone marrow stimulation techniques remain the “gold standard” for lesions |
| Databáze: | OpenAIRE |
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