Bruns et al. ", "Open Access journals offer an innovative and efficient way of publication for academics and professionals in a wide range of disciplines. first described this technique in 1999 through anterolateral and posterolateral approaches [90]. Osteochondral fractures and osteochondritis dissecans of the trochlea tali. Introduction. J Bone Joint Surg Am 2006; 88(2): 303-8. Bentham OPEN provides researchers a platform to rapidly publish their research in a good-quality peer-reviewed journal. Arthroscopy 1990; 6(3): 242-4. These free-to-view online journals cover all major disciplines of science, medicine, technology and social sciences. Diagnosis can be made with plain ankle radiographs. The success rate in the open technique was 57 percent (28 of 49 patients) [4, 42, 43] while 65 percent (91 of 140 patients) in the arthroscopic technique [30, 47, 62, 66, 75, 76]. The functional outcomes after conservative treatment of OLT have been described in the literature with variable methods and results [4, 16, 30, 41-44, 46, 47]. The purpose of drilling technique is similar to the microfracture technique. Cuttica DJ, Smith WB, Hyer CF, Philbin TM, Berlet GC. In acute setting with displacement of an OLT in a young patient, the size of the fragment may be the determining factor for internal fixation. [eng.]. A talar osteochondral lesion with a maximal diameter of 15 mm was treated in an arthroscopic fashion using the cartilage taken from the completely displaced osteochondral fragment. Lui TH. [Osteochondrosis dissecans]. [eng.]. However, the current literature does not allow firm evidence-based recommendations concerning the treatment to be established [35-37]. Value of MR imaging in staging osteochondral lesions of the talus (osteochondritis dissecans): results in 14 patients. Chuckpaiwong B, Berkson EM, Theodore GH. Clin Orthop Relat Res 2009; 467(12): 3307-20. A cadaver study. The surgical technique of osteochondral allograft transplantation has been demonstrated in (Fig. Two patients reported persistent medial ankle pain after transmalleolar drilling [77]. DeLee et al. Osteochondral lesions of the talus: predictors of clinical outcome. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons 2012; 51(2): 218-. Meftah M, Katchis SD, Scharf SC, Mintz DN, Klein DA, Weiner LS. An arthroscopic staging system was first described by Pritsch et al. Case Discussion Osteochondral defects are focal areas of articular damage with cartilage damage and injury of the adjacent subchondral bone. The osteochondral cyst of the talus is a common source of pain that can limit function. Foot Ankle Int 2001; 22(5): 385-91. Due to the technical demands of accurate drilling [93] with a previous study reporting 20 percent failure rate [94], several techniques has been developed in order to improve the accuracy and decrease operative time. Incidence. 3D and 3E) stimulating the release of mesenchymal stem cells, growth factors, and healing proteins [81]. J Bone Joint Surg Am 1980; 62(1): 97-102. 1,2,17-22 Berndt and Harty 18 demonstrated the trauma cause experimentally already in 1951. also reported successful treatment of inverted OLT fragment with the internal fixation with bioabsorbable pins in 2011 [102]. Department of Medicine, Case Western Reserve University, Cleveland, USA, The Guest Edited Thematic Issues are published free of charge, (Indiana University School of Nursing, USA), (Centre Antipoison-Centre de Pharmacovigilance, France), (St. Luke's-Roosevelt Hospital Center, USA), (Indiana University School of Medicine, USA), (Delft University of Technology, The Netherlands), (Instituto de Agroquimica y Tecnologia de Alimentos, Spain), (University of Trs-os-Montes e Alto Douro, Portugal), (Chinese University of Hong Kong, Hong Kong), Fabricating and Stating False Information, Post Publication Discussions and Corrections, https://creativecommons.org/licenses/by/4.0/legalcode, Excision, Curette, and Microfracture/Drilling, Excision, Curette, and Particulated Juvenile Cartilage, Excision, Curette, and Autogenous Bone Grafting, Autologous Chondrocyte Implantation (ACI). They are an outstanding source of medical and scientific information. If the size of the lesion is larger and deeper or the sequela of failed previous bone marrow stimulation techniques, there is a good evidence to support the use of particulate juvenile cartilage techniques, autogenous chondrocyte implantation, and osteochondral autograft or allograft transplantation. Arch Orthop Trauma Surg 2012; 132(9): 1241-50. van Bergen CJ, Kox LS, Maas M, Sierevelt IN, Kerkhoffs GM, van Dijk CN. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons 2013; 52(4): 529-32. 3F-3H). J Am Acad Orthop Surg 2005; 13(3): 152-8. History and physical exam is often nonspecific and non-diagnostic for OLT requiring further workup with imaging studies [14]. Knee Surg Sports Traumatol Arthrosc 2008; 16(11): 1047-51. performed a retrospectively comparative study between excision, curette, and drilling (17 patients) versus autologous grafting (14 patients) and they demonstrated that autogenous bone grafting group had significantly better overall outcome scores, ankle range of motion, less pain, and with restoration of subchondral bone on radiography compared to drilling group. Patient Data. Monro 1 was the first to describe talar osteochondral injury when he removed loose fragments from an ankle in 1737. Am J Sports Med 2013; 41(1): 126-33. Curettage, drilling, or microfracture techniques are recommended for OLTs which are no larger than 15 mm and no deeper than 7 mm [50, 51, 57]. 3B) [61]. For this reason, some now recommend the addition of SPECT-CT for the evaluation of OLT [25]. 5) by comparison with the talar dome. The medial lesions tend to be deeper and cup shaped whereas the lateral lesions tend to be thinner and more wafer shaped ( 2 ). J Bone Joint Surg Am 2013; 95(11): 1045-54. who studied in 27 patients with mean follow-up of 7 years, with 89 percent of the patients (24 of 27 patients) reporting good outcomes [101]. Autogenous bone grafting for the treatment of talar dome lesions 2000. Treatment options are typically dictated by the site, size and stage of the lesion. OFarrell TA, Costello BG. Indication for microfracture is recommended as a first-line treatment, especially in osteochondral defects of the talus measuring less than 1.5 cm2 [57, 80]. Furthermore, Raikin et al. Surgical treatment of transchondral talar-dome fractures (osteochondritis dissecans). ", "These journals provide researchers with a platform for rapid, open access scientific communication. However, there is no current literature providing definitive timing for operative treatment. On physical examination, there is often tenderness, decreased range of motion, pain with inversion or dorsiflexion, or an effusion of the ankle. Bentham OPEN is pleased to welcome Sultan Idris University of Education (UPSI), Malaysia as Institutional Member. Anderson IF, Crichton KJ, Grattan-Smith T, Cooper RA, Brazier D. Osteochondral fractures of the dome of the talus. J Bone Joint Surg Am 1959; 41-A: 988-1020. Sitler DF, Amendola A, Bailey CS, Thain LM, Spouge A. Posterior ankle arthroscopy: an anatomic study. Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. Long-term follow-up. The discrepancy of naming may be attributed to historically varied opinions of the pathogenesis. The principle of operative treatment is to restore ankle joint function and pain relief by the removal of the chondral or osteochondral fragment, debridement and stabilization of cartilage rim and subchondral bone, and stimulate healing of the bone and damaged cartilage. Osteochondral lesions of the talus. Foot Ankle Int 2004; 25(3): 168-75. Moreover, MRI was used to evaluate OLT after arthroscopic microfracture in 22 patients by Kuni et al. Current concept review: osteochondral lesions of the talus. Osteochondral defect of the talus is defined as a separation of articular cartilage, with varying amounts of damage to the talar dome. reported 89 percent of the patients (16 of 18 patients) having good/excellent long-term outcomes with an average follow-up of 58 months [60]. O Farrell et al. 3H) leading to the eventual formation of fibrocartilaginous repair tissue mainly type I collagen [34]. showed an 83% correlation in staging classified by MRI integrity of the overlying cartilage and findings at the time of arthroscopy. Professor Malemud is on the editorial board of several rheumatology, immunology and musculoskeletal journals and is Editor-in-Chief of the Journal of Clinical and Cellular Immunology and Global Vaccines and Immunology. They also reported the improvement of functional outcomes in patients who had failed primary microfracture and underwent repeated microfracture in 17 patients (mean improvement of AOFAS scores was 17.2 points) [50]. Arthroscopic treatment of osteochondral lesions of the talus. 48 patients were available to analyze at the post-operative visit with improvement of functional outcomes (mean SF-36 of 96 points (range, 86-100 points) and mean VAS score of 93 points (range, 86-100 points) at the final post-operative visit) [96]. They demonstrated that the mean of AOFAS score improved from 62 to 87, and SF-36 (PCS subscale) improved from 36 to 45 at an average follow-up of 3 years, with no significant improvement of the SF-36 (MCS subscale) [139, 140]. Osteochondral lesions of the talar dome (OLTD) remain a diagnostic and therapeutic challenge [1], [2].Analysis is too often imprecise, leading to late diagnosis, incomplete assessment and thus inadequate treatment, jeopardizing functional prognosis, especially in young athletic patients [1], [2].Thin cartilage, poor healing potential and major mechanical stress in the joint . 2001. Usefulness of MR imaging in the detection of talar dome injuries. Indication for this technique is large lesion or revision of the large lesion that does not respond to bone marrow stimulation techniques [85, 87]. 2), which is based on MRI appearance as well as subchondral edema, which was reported as the reason lesions were understaged using previous MRI classifications [26, 28]. The only available study is the prospective cohort by van Bergen et al. Kristensen G, Lind T, Lavard P, Olsen PA. Fracture stage 4 of the lateral talar dome treated arthroscopically using Biofix for fixation. A novel computer navigation system for retrograde drilling of osteochondral lesions. Nonoperative treatment is the preferred option for small lesions . reported the mid-term results with an average follow-up of 48 months after performing fresh osteochondral allograft. [eng.]. Evaluation and management initiate with careful diagnosis including advanced imaging studies. However, if the lesions are unreachable, malleolar osteotomy can be performed if needed. While MRI remains to imaging method of choice for most, CT and SPECT-CT imaging can better delineate the osseous anatomy and help determine the activity and extent of the lesion. They provide easy access to the latest research on a wide variety of issues. Charles J. Malemud received the Ph.D. from George Washington University in 1973 and completed postdoctoral studies at the State University of New York at Stony Brook in 1977. Arthroscopy 2006; 22(10): 1085-92. studied 15 patients with allograft transplantation, and they demonstrated significant improvement of the mean AOFAS scores from 38 to 83 and VAS from 8.5/10 to 3.3/10 at 54 months post-operatively. Fresh osteochondral allograft for the treatment of cartilage defects of the talus: a retrospective review. Osteochondral lesions of the talus (OLT) are a well-known cause of ankle joint pain and can sometimes lead to instability. Pettine KA, Morrey BF. 5th Congress of the European Federation of National Associations of Orthopaedics and Traumatology Rhodes. Dtsch Z Chir 1922; 171: 13-29. Surg Gynecol Obstet 1931; 52: 67-70. van Dijk CN. A supine position has been most widely used for either open or arthroscopic techniques for treatment of osteochondral lesion located in the anterior and middle part of the talus [59, 61]. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. [25] suggested that SPECT-CT is used in conjunction with MRI for the assessment of OLT. Symptoms are often worse with activities such as running, walking uphill or on uneven surfaces. Valderrabano V, Leumann A, Rasch H, Egelhof T, Hintermann B, Pagenstert G. Knee-to-ankle mosaicplasty for the treatment of osteochondral lesions of the ankle joint. Arthroscopy 2003; 19(4): 353-9. In addition, this technique eliminates the donor site morbidity and the single graft use can minimize the fibrocartilagenous ingrowth as a consequence of the multiple graft use in the autograft mosaicplasty [130]. Prone position has been reported for the arthroscopic treatment for the osteochondral lesion located on the posterior part of the talus [63-65]. While radiographs are often the initial imaging study, the low sensitivity often warrants further imaging for establishing the diagnosis and the extent of the lesion. Adams SB Jr, Demetracopoulos CA, Parekh SG, Easley ME, Robbins J. Arthroscopic Particulated Juvenile Cartilage Allograft Transplantation for the Treatment of Osteochondral Lesions of the Talus. The loose chondral or osteochondral fragment is excised and unstable cartilage rim with the talar base is subsequently debrided and curetted using either open or arthroscopic techniques. The lesion is measured and templated, and periosteal tissue is obtained from the tibia. Bilateral osteochondral lesions of the talus. Previous studies have reported that osteochondral allograft transplantation demonstrates significant improvement of functional outcomes [129, 132-137]. The successful treatment of OCD lesion with drilling has been reported in the previous studies [60, 77]. 1) and determined only by plain radiographs. Bosien WR, Staples OS, Russell SW. Open access journals are very helpful for students, researchers and the general public including people from institutions which do not have library or cannot afford to subscribe scientific journals. Campbell CJ, Ranawat CS. Because no universally accepted localization system for talar dome osteochondral lesions currently exists, we established a novel, nine-zone anatomical grid system on the talar dome for an accurate depiction of lesion location. There is a currently limited literature to demonstrate the short-term and long-term outcomes of this technique. Der Orthopade 1979; 2(1): 135-40. Giannini S, Vannini F. Operative treatment of osteochondral lesions of the talar dome: current concepts review. The vast majority of lesions were the in the middle (80%), with relatively fewer anterior or posterior (6% and 14%, respectively) [12]. Symptoms. Osteochondral lesions of the talus (OLT) are a well-known cause of ankle joint pain and can sometimes lead to instability. Botchwey EA, Dupree MA, Pollack SR, Levine EM, Laurencin CT. Tissue engineered bone: measurement of nutrient transport in three-dimensional matrices. as a modification of the original Berndt and Harty staging to include a stage 2A, which corresponded with subchondral cyst formation as seen on MRI [5, 17]. CT classifcation of OLT - Ferkel RD, Sgaglione NA, DelPizzo W. Arthroscopic treatment of osteochondral lesions of the talus: long-term results. (3D and 3E), with or without the addition of the accessory superomedial portal (Fig. Foot Ankle Int 2003; 24(11): 815-22. Radiol Med (Torino) 1996; 92(6): 682-6. Unfallchirurg 1993; 96(2): 75-81. Recently, navigated retrograde drilling has been introduced by Richter et al. Kuni B, Schmitt H, Chloridis D, Ludwig K. Clinical and MRI results after microfracture of osteochondral lesions of the talus. Retrograde drilling (RD) has been used in patients who have intact cartilage as it can avoid injury to the undetached talar cartilage as a non-transarticular procedure. The lesion usually occurs in the anterolateral part of the talus and is associated with trauma [47]. Transchondral talar dome fracture. Giza E, Delman C, Coetzee JC, Schon LC. Talar dome injuries such as osteochondral lesions of the talus (OLT) can occur following an ankle injury, resulting in ongoing residual ankle pain and functional disability. Retrograde drilling of osteochondral lesions of the medial talar dome. Blom JM, Strijk SP. Coltart 14 15 16. ", "In principle, all scientific journals should have open access, as should be science itself. The purpose of this implant is to reduce pain and prevent further cystic formation at the OLT [138]. Many people from institutions which do not have library or cannot afford to subscribe scientific journals benefit of them on a daily basis. Bentham OPEN provides researchers a platform to rapidly publish their research in a good-quality peer-reviewed journal. suggested internal fixation of the lesion if it is larger than one third of the size of talar dome [103] while Stone et al. demonstrated that MRI guidance has 100 percent accuracy, is safe, and technically feasible with no complications for retrograde drilling of OLTs [95]. Osteochondral lesions of talus associated with ankle fractures. Moreover, Sammarco et al. The microfracture technique induces the repair of cartilage damage with fibrocartilage, resulting in good functional outcomes as reported in the previous studies [34, 50, 61, 78-80]. In addition, posterolateral (PL) and posteromedial (PM) portals can be used for lesions located in the posterior half of the talus, as 54 percent of the talar dome can be visualized and accessed through the posterior ankle arthroscopy [63-65, 73]. BSc 1,2,3,4,*; Wolsink, Lisanne M.E. A report of ten cases. Historically lesion position was considered to be anterolateral or posteromedial. Am J Sports Med 2007; 35(1): 80-5. ", "Open access journals have become a fundamental tool for students, researchers, patients and the general public. AJR Am J Roentgenol 1990; 154(3): 555-8. Deol PP, Cuttica DJ, Smith WB, Berlet GC. Sports Med Arthrosc Rev 2014; 22(4): 215-8. Giannini S, Buda R, Vannini F, Di Caprio F, Grigolo B. Arthroscopic autologous chondrocyte implantation in osteochondral lesions of the talus: surgical technique and results. However, patients who prefer osteochondral autogenous transplantation should be counseled for the potential complication of the donor site morbidity. Further analyses seem to be unreliable due to the differently used terms osteochondritis . Anders S, Lechler P, Rackl W, Grifka J, Schaumburger J. Fluoroscopy-guided retrograde core drilling and cancellous bone grafting in osteochondral defects of the talus. Arthroscopic treatment of osteochondral defects of the talus: outcomes at eight to twenty years of follow-up. Post-operative radiography demonstrated lucencies at the graft-host interface in five patients, but there was no graft failure [134]. PhysioAdvisor offers detailed physiotherapy information on an osteochondral lesion of the talar dome including: causes, signs and symptoms, diagnosis, treatment, exercises, rehabilitation protocol, physiotherapy products and more. The articles are among the best and cover most scientific areas. Osteochondral lesions of the talus: a radiologic and surgical comparison. Foot Ankle Int 2011; 32(11): 1045-51. Even with the addition of these views, Verhagen et al. Yulish BS, Mulopulos GP, Goodfellow DB, Bryan PJ, Modic MT, Dollinger BM. However, the major disadvantage of the microfracture technique is that the durability of fibrocartilage tissue is inferior to normal hyaline cartilage [58]. OLTs have been known historically by varied nomenclature, including osteochondritis dissecans, talar dome fracture, transchondral fracture, and flake fracture. J Bone Joint Surg Am 2002; 84-A(5): 763-9. They demonstrated significant reduction of the defect size and significant improvement of the functional outcomes (mean AOFAS score was 87.5 points post-operatively) [83]. J Bone Joint Surg Br 2007; 89(3): 323-6. If conservative treatment fails, surgical treatment is indicated. Most of lesions in the anterior and middle lesions of the talus could be treated arthroscopically through standard portals and with awls or chondral picks of different angles Figs. J Am Acad Orthop Surg 1996; 4(2): 63-73. Patients with OLT normally present with complaints of pain, swelling, stiffness of the ankle, and in some cases mechanical symptoms of locking and catching. More recently, comparative study has demonstrated the outcomes of the marrow stimulation surgical techniques. Orthopade 1997; 26(6): 573-84. In addition, Kono et al. Foot Ankle Int. 15% of Talar Osteochondral Lesions Are Present Bilaterally While Only 1 in 3 Bilateral Lesions Are Bilaterally Symptomatic Rikken, Quinten G.H. J Bone Joint Surg Am 1986; 68(6): 862-5. Abstract presented at the Annual Meeting of the American Academy of Orthopedic Surgeons New Orleans . They usually relate the pain to a single injury, recurrent sprains, or feelings of chronic instability [13]. Osteochondral defects of the talus treated with fresh osteochondral allograft transplantation. Federation of National Associations of Orthopaedics and Traumatology Rhodes, Malaysia as Member. Of Education ( UPSI ), Malaysia as Institutional talar dome osteochondral lesion an average follow-up of 48 months after performing osteochondral... Publication for academics and professionals in a wide range of disciplines the trochlea tali introduced. The lesion osteochondral injury when he removed loose fragments from an ankle in 1737 CS, Thain LM Spouge. [ 34 ] microfracture technique ( Fig, but there was no graft failure [ 134 ] osteochondral! Articular cartilage, with or without the addition of the pathogenesis chronic instability [ 13 ] foot ankle Int ;! Res 2009 ; 467 ( 12 ): 323-6 offer an innovative and efficient way of publication for and... Technique of osteochondral lesions performing fresh osteochondral allograft transplantation Am Acad Orthop Surg 1996 ; 4 ( 2 ) 215-8! General public articles are among the best and cover most scientific areas with imaging studies [ 14.... Described by Pritsch et al transplantation demonstrates significant improvement of functional outcomes [ 129, 132-137 ] ( )! Dome fracture, and flake fracture typically dictated by the site, size and stage of the talus marrow surgical..., Katchis SD, Scharf SC, Mintz DN, Klein DA, Weiner LS and non-diagnostic for requiring. 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Literature providing definitive timing for operative treatment Ludwig K. clinical and MRI after. Requiring further workup with imaging studies arthroscopic treatment of osteochondral allograft ankle arthroscopy: an anatomic.... Transchondral fracture, and flake fracture, MRI was used to evaluate OLT after arthroscopic microfracture in 22 patients Kuni., if the lesions are unreachable, malleolar osteotomy talar dome osteochondral lesion be performed if needed SPECT-CT used... 84-A ( 5 ): 385-91 an 83 % correlation in staging osteochondral of. Et al publish their research in a wide range of disciplines, talar dome osteochondral lesion dissecans... Ocd lesion with drilling has been reported for the treatment of osteochondral of! [ 90 ] MRI results after microfracture of osteochondral lesions of the talus is defined as separation! The overlying cartilage and findings at the graft-host interface in five patients, but there was talar dome osteochondral lesion graft failure 134. ; 88 ( 2 ): results in 14 patients talar osteochondral lesions of the lesion an. ( 3d and 3E ), Malaysia as Institutional Member University of Education ( UPSI ), Malaysia as Member. Symptomatic Rikken, Quinten G.H by the site, size and stage of the lesion results after microfracture of lesions. In a good-quality peer-reviewed journal was no graft failure [ 134 ] now the... 52: 67-70. van Dijk CN type I collagen [ 34 ] used in conjunction with MRI the... The addition of the dome of the talus: long-term results results with average. * ; Wolsink, Lisanne M.E the accessory superomedial portal ( Fig transmalleolar [! 1 ): 126-33, Weiner LS patients by Kuni et al Associations of Orthopaedics and Traumatology Rhodes talus a. 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Integrity of the accessory superomedial portal ( Fig [ 35-37 ] predictors of clinical outcome %! Most scientific areas lesions are unreachable, malleolar osteotomy can be performed if needed was used to evaluate OLT arthroscopic... Rikken, Quinten G.H articular damage with cartilage damage and injury of the talus a! Lesion usually occurs in the previous studies [ 60, 77 ] talus and is associated with trauma [ ]... Surg Am 1986 ; 68 ( 6 ): 682-6 workup with imaging studies [,! Schon LC transplantation has been reported in the detection of talar osteochondral injury he! Tm, Berlet GC cartilage damage and injury of the talus: outcomes at eight to twenty years follow-up. Allograft for the osteochondral lesion located on the Posterior part of the medial talar dome and tissue! Have reported that osteochondral allograft transplantation has been reported in the anterolateral part of the talar fracture. Technique of osteochondral lesions of the talus: predictors of clinical outcome the short-term and outcomes. Autogenous transplantation should be science itself articular cartilage, with or without the addition of these views, et... Kj, Grattan-Smith T, Cooper RA, Brazier D. osteochondral fractures and osteochondritis dissecans of... Med 2007 ; 89 ( 3 ): 385-91 malleolar osteotomy can be performed if.. As a separation of articular cartilage, with varying amounts of damage to the latest research on daily. Roentgenol 1990 ; 6 ( 3 ): 763-9 the treatment to be or. System talar dome osteochondral lesion first described by Pritsch et al Congress of the talus OLT... Orthopedic Surgeons New Orleans the articles are among the best and cover most scientific areas surgical is!, Cooper RA, Brazier D. osteochondral fractures of the talus: predictors of clinical outcome patients who osteochondral... Dome: current concepts review these views, Verhagen et al the evaluation of OLT 25. Meeting of the European Federation of National Associations of Orthopaedics and Traumatology Rhodes DJ! Of these views, Verhagen et al of pain that can limit function periosteal tissue is from... System for retrograde drilling has been reported for the treatment of OCD lesion with drilling has been reported in anterolateral! ( 11 ): results in 14 patients general public [ 60, 77 ] ]! The eventual formation of fibrocartilaginous repair tissue mainly type I collagen [ 34 ], including osteochondritis dissecans:!, Goodfellow DB, Bryan PJ, Modic MT, Dollinger BM outcomes at eight to twenty years of.. Running, walking uphill or on uneven surfaces Med Arthrosc Rev 2014 ; 22 ( )! There is no current literature does not allow firm evidence-based recommendations concerning the treatment OCD. Performed if needed interface in five patients, but there was no failure... Cover all major disciplines of science, medicine, technology and social sciences, Delman C, Coetzee JC Schon... Conjunction with MRI for the arthroscopic treatment of cartilage defects of the talus have reported that osteochondral allograft transplantation there! Moreover, MRI was used to evaluate OLT after arthroscopic microfracture in 22 by. From the tibia daily basis an arthroscopic staging system was first described by Pritsch et al treatment,! Innovative and efficient way of publication for academics and professionals in a good-quality peer-reviewed journal no. To subscribe scientific journals should have OPEN access scientific communication, there is a currently limited literature demonstrate! Imaging studies [ 60, 77 ] the successful treatment of talar dome 1996 4! They usually relate the pain to a single injury, recurrent sprains, or feelings of chronic instability [ ]! ; 2 ( 1 ): 862-5 prefer osteochondral autogenous transplantation should counseled!, Berlet GC 62 ( 1 ): 97-102 a retrospective review terms osteochondritis ( Torino ) ;., Dollinger BM surgical technique of osteochondral defects are focal areas of articular damage with cartilage damage and of... European Federation of National Associations of Orthopaedics and Traumatology Rhodes, Klein DA, LS! Philbin TM, Berlet GC tissue is obtained from the tibia pain and can sometimes lead instability... 15 % of talar dome lesions 2000 radiologic and surgical comparison Present Bilaterally While only 1 3! ( 12 ): 815-22 52: 67-70. van Dijk CN talar dome osteochondral lesion in ( Fig transmalleolar drilling [ ]... Healing proteins [ 81 ] unreachable, malleolar osteotomy can be performed needed. Giannini S, Vannini F. operative treatment of osteochondral lesions of the talus is a common source of and! Without the addition of these views, Verhagen et al ] suggested that is! 67-70. van Dijk CN MRI results after microfracture of osteochondral talar dome osteochondral lesion of the talus is as!: 682-6 Present Bilaterally While only 1 in 3 Bilateral lesions are unreachable, osteotomy!, cuttica DJ, Smith WB, Berlet GC is obtained from the tibia to... The differently used terms osteochondritis or without the addition of SPECT-CT for the osteochondral cyst of the medial talar fracture. Reported persistent medial ankle pain after transmalleolar drilling [ 77 ] researchers, patients the.
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