Cartilage Repair, Replacement, and Regenerative Strategies for Osteochondral Lesions of the Talus

Adams, Samuel B.; Parekh, Selene G.; Solminihac, Diego H. Zanolli de; Krynetskiy, Evgeny E.; Schon, Lew C.; Easley, Mark E.

doi:10.1007/978-1-4471-5385-6_16

Developing Insights in Cartilage Repair 2013

DOI: 10.1007/978-1-4471-5385-6_16

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Cartilage Repair, Replacement, and Regenerative Strategies for Osteochondral Lesions of the Talus

Samuel B. Adams

Selene G. Parekh

Diego H. Zanolli de Solminihac

et al.

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2018

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Arthroscopic Treatment for an Osteochondral Lesion of the Talus

Jeong

Jung

2018

J Korean Orthop Assoc

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Ankle injury is one of the most common injuries, and osteochondral lesions of the talus occur in up to 70% of acute ankle sprains or fractures. The number of sports injuries have increased due to the increase in leisure activities, and the development of diagnostic techniques to evaluate the cartilage status leads to a higher prevalence of osteochondral lesions of the talus. Although osteochondral lesions of the talus with no symptoms can be treated conservatively, adult patients are usually treated by surgery because they are more likely to fail after non-surgical management. Recovery to normal cartilage is important, but there has been no surgical treatment established for effective cartilage regeneration. Bone marrow stimulation, such as arthroscopic microfracture, is a commonly used surgical procedure and an effective treatment for lesions that are small or failed after non-operative treatment. In addition, there are treatments, such as osteochondral autograft transplantation, osteochondral allograft transplantation and autologous chondrocyte implantation. The selection of the methods depends on the size and location of the lesion, the presence of subchondral cysts, and the results of previous surgery. Many surgical procedures have shown good results in short and mid-term follow-up studies but the results of long-term followup have been unclear. Various treatment methods, such as hyaluronan, platelet-rich plasma, mesenchymal stem cells, and bone marrow aspirate concentrate, have been available recently due to the development of various biological agents.

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Arthroscopic Treatment for an Osteochondral Lesion of the Talus

Jeong

Jung

2018

J Korean Orthop Assoc

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Cartilage Repair, Replacement, and Regenerative Strategies for Osteochondral Lesions of the Talus

Cited by 1 publication

References 95 publications

Arthroscopic Treatment for an Osteochondral Lesion of the Talus

Arthroscopic Treatment for an Osteochondral Lesion of the Talus

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