Mosaicplasty for the treatment of osteochondritis dissecans of the talus: two to seven year results in 36 patients
| Autor: | Levente Gáspár, László Hangody, Gary Kish, Zoltán Diószegi, László Módis, Zsolt Kendik, Imre Szerb |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Cartilage Articular medicine.medical_specialty Adolescent Transplantation Autologous Talus Lesion 03 medical and health sciences Arthroscopy 0302 clinical medicine Joint mechanics Osteochondral grafting Synovitis Medicine Humans Orthopedics and Sports Medicine 030203 arthritis & rheumatology Postoperative Care Bone Transplantation business.industry 030229 sport sciences Middle Aged medicine.disease Osteochondritis dissecans Osteochondritis Dissecans Surgery Treatment Outcome medicine.symptom business Follow-Up Studies |
| Zdroj: | Footankle international. 22(7) |
| ISSN: | 1071-1007 |
| Popis: | An osteochondral defect (OCD) is known as a symptomatic lesion causing pain, recurrent synovitis, and altered joint mechanics most commonly in a weightbearing joint. Loose bodies may develop, which may then cause joint destruction and/or locking. The damage to the articular surface is most likely a precursor of ankle osteoarthritis. With the recent advances in diagnostic imaging, such as MRI, as well as the development of ankle arthroscopy, the identification and classification of these lesions has become much more precise. This allows more accurate staging and improves treatment recommendations. The assessment of a particular treatment is also improved.A variety of treatment alternatives are now available. These include arthroscopic procedures including debridement, retrograde drilling, and bone grafting. Compared to open treatment, arthroscopic procedures may be particularly advantageous in the treatment of small defects and stable OCD lesions. Until recently, however, favorable results have been less predictable for large or unstable osteochondral defects. We treat these more difficult lesions with a mosaic autogenous osteochondral transplantation. In our hands, this appears to provide an optimal treatment result.The present report evaluates the clinical outcome of 36 patients followed for two to seven years after a mosaicplasty autogenous osteochondral transplantation from a non or less weight bearing portion of the knee to the ipsilateral talus. Ankle function was measured by the Hannover scoring system and showed good to excellent results in 34 cases (94%) with no long term donor site morbidity. The encouraging clinical results are supplemented with radiographs and histology, which support the premise of lasting relief of symptoms and prevention of ankle arthrosis. |
| Databáze: | OpenAIRE |
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