Autologous osteochondral transplantation for osteochondral lesions of the talus: high rate of return to play in the athletic population

Autor: Dexter, Seow, Yoshiharu, Shimozono, Arianna L, Gianakos, Eugenio, Chiarello, Nathaniel, Mercer, Eoghan T, Hurley, John G, Kennedy
Rok vydání: 2020
Předmět:
Zdroj: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 29(5)
ISSN: 1433-7347
Popis: (1) To determine the rate of return to play following autologous osteochondral transplantation (AOT) for osteochondral lesions of the talus (OLT) and (2) report subsequent rehabilitation protocols.A systematic review of the PubMed, Embase, and The Cochrane Library databases was performed according to the PRISMA guidelines based on specific eligibility criteria. Return to play data was meta-analysed and subsequent rehabilitation protocols were summarised. Level of evidence and quality of evidence (Zaman's criteria) were also evaluated.Nine studies that totalled 205 ankles were included for review. The mean follow-up was 44.4 ± 25.0 (range 16-84) months. The mean OLT size was 135.4 ± 56.4 mmThis systematic review indicated a high rate of return to play following AOT in the athletic population. Size of OLT was not found to be a predictor of return to play, whereas advancing age was a predictor. Rehabilitation protocols were largely inconsistent and were primarily based on individual surgeon protocols. However, the included studies were of low level and quality of evidence.Level IV.
Databáze: OpenAIRE