Outcome of osteochondral autograft transplantation for type-V cystic osteochondral lesions of the talus

The Journal of Bone and Joint Surgery. British Volume
P E ScrantonK S Feder

Abstract

The treatment of osteochondral lesions of the talus has evolved with the development of improved imaging and arthroscopic techniques. However, the outcome of treatment for large cystic type-V lesions is poor, using conventional grafting, debridement or microfracture techniques. This retrospective study examined the outcomes of 50 patients with a cystic talar defect who were treated with arthroscopically harvested, cored osteochondral graft taken from the ipsilateral knee. Of the 50 patients, 45 (90%) had a mean good to excellent score of 80.3 (52 to 90) in the Karlsson-Peterson Ankle Score, at a mean follow-up of 36 months (24 to 83). A malleolar osteotomy for exposure was needed in 26 patients and there were no malleolar mal- or nonunions. One patient had symptoms at the donor site three months after surgery; these resolved after arthroscopic release of scar tissue. This technique is demanding with or without a malleolar osteotomy, but if properly performed has a high likelihood of success.

References

Jan 1, 1991·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J D DipaolaM R Colville
Jul 1, 1986·The Journal of Bone and Joint Surgery. American Volume·M PritschI Farine
May 1, 1986·The American Journal of Sports Medicine·J S Parisien
Nov 1, 1984·The American Journal of Sports Medicine·J P Thompson, R L Loomer
Aug 1, 1982·Acta Orthopaedica Scandinavica·C Zinman, N D Reis
Oct 6, 1994·The New England Journal of Medicine·M BrittbergL Peterson
Oct 3, 1999·The Journal of Bone and Joint Surgery. American Volume·T KumaiS Tamai
Dec 28, 1999·Foot & Ankle International·S HeppleD Glew
Jun 29, 2001·Foot & Ankle International·P E Scranton, J E McDermott
Jun 5, 2002·Foot & Ankle International·Raad A Al-ShaikhDavid Prieskorn
Oct 1, 2003·The Journal of Bone and Joint Surgery. British Volume·D E RobinsonA J Kelly
Feb 24, 2004·The American Journal of Sports Medicine·Ellis K NamLi-Qun Zhang
Feb 24, 2004·The American Journal of Sports Medicine·Jason Lee KohLi-Oun Zhang
Dec 2, 2004·The American Journal of Sports Medicine·Fred S HuangJohn M Clark
Dec 14, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Muhammad AgungKenzo Kawasaki
Feb 3, 2005·The Journal of Bone and Joint Surgery. American Volume·J S HuntleyA C Hall

❮ Previous
Next ❯

Citations

Jun 7, 2007·The Journal of Orthopaedic and Sports Physical Therapy·Robroy L MartinStephen F Conti
Jul 16, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·André LeumannGeert Pagenstert
Apr 13, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Anthony WajsfiszPhilippe Beaufils
Dec 18, 2010·Archives of Orthopaedic and Trauma Surgery·Christiaan J A van BergenC Niek van Dijk
Oct 28, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Maartje ZengerinkCornelis Niek van Dijk
Oct 20, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Dimitrios GeorgiannosAthanasios Badekas
Dec 4, 2008·Archives of Orthopaedic and Trauma Surgery·Roberto SeijasR Cugat
Feb 15, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hong-Geun JungSung-Gyu Moon
Apr 20, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Milva BattagliaSandro Giannini
Mar 8, 2008·Der Orthopäde·M Merian, M Easley
Apr 27, 2013·Der Orthopäde·A BargV Valderrabano
Aug 29, 2013·International Orthopaedics·Thanos BadekasNikolaos Souras
Sep 7, 2013·Foot and Ankle Clinics·Martin WiewiorskiVictor Valderrabano
Aug 3, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·YueLin HuZhuozhao Zheng
Sep 7, 2013·Foot and Ankle Clinics·Brian S Winters, Steven M Raikin
Mar 8, 2013·Foot and Ankle Clinics·Premjit Pete S DeolGregory C Berlet
Jan 31, 2012·Foot and Ankle Clinics·Mark E Easley, J Carr Vineyard
Mar 27, 2012·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Christopher J PearceJames D Calder
Sep 16, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·John M PinskiJohn G Kennedy
Dec 17, 2008·Revue de chirurgie orthopédique et réparatrice de l'appareil moteur·C J A van BergenC N van Dijk
Jul 16, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Melissa M GalliStephen A Brigido
Feb 5, 2014·The Bone & Joint Journal·C P HannonJ G Kennedy
Jul 20, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Murat GülYavuz Selim Kabukcuoglu
Aug 9, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Youichi YasuiJohn G Kennedy
Jul 28, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Ian Savage-ElliottJohn G Kennedy
Aug 23, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Richard J VanTienderenJustin D Orr
Aug 8, 2014·Foot & Ankle Specialist·Ian Savage-ElliottJohn G Kennedy
Dec 17, 2015·Foot & Ankle International·Seán FlynnJohn G Kennedy
Jul 25, 2014·The American Journal of Sports Medicine·Steve K KwakGregory R Applegate
Apr 30, 2008·Foot & Ankle International·David N GarrasMark E Easley
Nov 9, 2016·Foot & Ankle International·Matthew J KraeutlerCecilia Pascual-Garrido
Feb 28, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lizhong JingYuelin Hu
Mar 31, 2017·JBJS Reviews·Travis J DekkerSamuel B Adams
Feb 12, 2017·Current Reviews in Musculoskeletal Medicine·Yoshiharu ShimozonoJohn G Kennedy
Aug 1, 2008·Foot & Ankle Specialist·Eric Giza

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved