Long-term results of osteochondral autograft transplantation of the talus with a novel groove malleolar osteotomy technique
| Autor: | Tunay Erden, Vahit Emre Ozden, Omer Taser, Sarper M. Cetinkaya, Berkin Toker, Goksel Dikmen |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Reoperation osteochondral autograft transfer medicine.medical_specialty Visual Analog Scale Visual analogue scale medicine.medical_treatment talus Osteotomy Talus Postoperative Complications Malleolar osteotomy medicine Humans osteochondral lesion Orthopedics and Sports Medicine Range of Motion Articular Autografts Retrospective Studies Bone Transplantation business.industry Rehabilitation mosaicplasty Retrospective cohort study Long term results Surgery Transplantation Treatment Outcome Knee pain medicine.anatomical_structure Female Original Article medicine.symptom Ankle business Range of motion Ankle Joint Follow-Up Studies |
| Zdroj: | Joint Diseases and Related Surgery |
| ISSN: | 2687-4792 2687-4784 |
| Popis: | Objectives This study aims to evaluate the long-term results of osteochondral autograft transfer (OAT) of talar lesions performed using a modified osteotomy technique. Patients and methods This retrospective study included 20 consecutive patients (11 males, 9 females; mean age 33.5±11 years; range, 15 to 56 years) (21 ankles) with osteochondral lesions of the talus (OLT) treated with the OAT system between August 2002 and October 2008. We performed a modified sulcus groove osteotomy, which provides better exposure of medial and central lesions. After a minimum duration of 10 years following surgery, patients' clinical functions were evaluated according to the American Orthopaedic Foot and Ankle Society (AOFAS) ankle- hindfoot scale and visual analog scale (VAS). The Tegner-Lysholm scoring system was used to determine the levels of knee activity. Results The mean follow-up period was 143.5 (range, 120 to 186) months. The mean AOFAS scores significantly improved from 60.4±7.4 (range, 48 to 70) preoperatively to 86.2±9.2 (range, 60 to 94) at the last follow-up (p≤0.05). The mean ankle VAS score significantly decreased from 6.3±0.4 (range, 5 to 7) preoperatively to 2.0±1.4 (range, 0 to 4). The mean Tegner-Lysholm score for this group was 89.7±11.7 (range, 68 to 100). Revision surgery was performed in only two patients because of impingement and arthritis. Recurrent knee pain at the donor site of the osteochondral autograft was observed in three (14%) patients. Conclusion In the present study, good to excellent results were obtained in the treatment of OLT with OAT for a minimum follow-up duration of 10 years. This novel technique can also simplify the steep learning curve, which is challenging for surgeons. |
| Databáze: | OpenAIRE |
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