Open reconstruction with autologous spongiosa grafts and matrix-induced chondrogenesis for osteochondral lesions of the talus can be performed without medial malleolar osteotomy

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Mellany GallaAlexej Barg

Abstract

To evaluate complication rates and postoperative outcomes in patients with osteochondral lesions of the talus who underwent an autologous matrix-induced chondrogenesis (AMIC) procedure with autologous spongiosa grafting without malleolar osteotomy. A total of 23 patients with a mean age of 35.6 ± 13.9 years were included in this study. The mean follow-up was 33.5 ± 10.4 months (range 24-52.9 months). The clinical outcomes were evaluated using the visual analog scale (VAS) and the Foot Function Index (FFI). Postoperatively, lesion healing was assessed using the magnetic resonance observation of cartilage repair tissue (MOCART) protocol. There were no intraoperative or perioperative complications. In one patient, arthroscopic arthrolysis was performed due to painful arthrofibrosis. The mean VAS significantly decreased from 7.6 ± 1.1 (range 4.2-9.3) to 1.4 ± 2.2 (range 0-7.4) (P < 0.001). The mean FFI significantly improved from 46.8 ± 14.3 (range 24.3-80.8) to 15.9 ± 11.4 (range 10.0-51.7) (P < 0.001). The mean MOCART score at 1-year follow-up was 74.1 ± 12.4 (range 50-95). Both preoperative and postoperative pains were significantly higher for smokers when compared to non-smokers. The results of the present study study indicate ...Continue Reading

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Citations

Jul 1, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yantarat SripanichAlexej Barg
Jan 27, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Ramazan AkmeşeMustafa Özyildiran
Dec 10, 2020·Life·Christian GötzeFilippo Migliorini
Jul 26, 2021·BMC Musculoskeletal Disorders·Christian GötzeFilippo Migliorini
Sep 21, 2021·The American Journal of Sports Medicine·Filippo MiglioriniAlice Baroncini
Oct 7, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Filippo MiglioriniAlice Baroncini

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