Functional and MRI Outcomes After Arthroscopic Microfracture for Treatment of Osteochondral Lesions of the Distal Tibial Plafond

Ross, Keir A.; Hannon, Charles P.; Deyer, Timothy; Smyth, Niall A.; Hogan, MaCalus V.; Hương, Trần Thu; Kennedy, John G.

doi:10.2106/jbjs.m.01370

Cited by 35 publications

(76 citation statements)

References 34 publications

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“…The SF-12 has been used as an outcome instrument across a wide spectrum of orthopedic subspecialties, including the ankle (6), foot (7), cervical and lumbar spine (2,8), hip and knee reconstruction (9–12), orthopedic trauma (13,14), upper extremity (14,15), and workers’ compensation (15). The SF-12 has also been used as a generic outcome instrument to assess the QOL of patients with type 2 DM in an effort to study the differences across gender and treatment groups (16–19).…”

Section: Discussionmentioning

confidence: 99%

Correlation of SF-36 and SF-12 Component Scores in Patients With Diabetic Foot Disease

Wukich

Sambenedetto

Mota

et al. 2016

The Journal of Foot and Ankle Surgery

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The assessment of patient outcomes is becoming increasingly important in all areas of medicine, including foot and ankle surgery. The Medical Outcomes Study Short Form 36-item (SF-36) is widely used as a generic measure of quality of life; however, patients often find answering 36 questions cumbersome. Consequently, the Short Form 12 (SF-12) was developed. We hypothesized that the agreement between the SF-12 and SF-36 component scores would be substantial in patients with diabetic foot disease. We retrospectively reviewed the data from 300 patients with diabetes mellitus (DM) and foot and ankle pathology who completed the SF-36 questionnaire. Of the 300 patients, 155 (51.7%) had problems directly related to complications of DM and 145 (48.3%) had routine foot complaints that were unrelated to complications of DM. The 12 questions of the SF-12 were abstracted from the SF-36. The overall median score for the SF-36 physical component summary was 34.70 compared with the overall SF-12 physical component summary of 36.75 (p = .04). The intraclass correlation coefficient was 0.93688. The overall median score for the SF-36 mental component summary was 52.40 compared with the overall SF-12 mental component summary of 51.25 (p = .34). The intraclass correlation coefficient was 0.95449. Substantial agreement was observed when comparing the component scores of the SF-12 and the SF-36. From our study results of 300 patients with DM, it appears that the SF-36 and SF-12 are comparable outcome instruments for use with patients with diabetic foot disease.

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Section: Discussionmentioning

confidence: 99%

Correlation of SF-36 and SF-12 Component Scores in Patients With Diabetic Foot Disease

Wukich

Sambenedetto

Mota

et al. 2016

The Journal of Foot and Ankle Surgery

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“…When dividing the tibial plafond into nine equal zones (using a 3 × 3 grid), the most common sites for osteochondral lesions are at the midmedial and the posterior-medial segments [16]. With modification of this grid system to include a greater percentage at the anteromedial tibial plafond beyond the articular rim, osteochondral lesions with characteristic subchondral changes do occur [17].…”

Section: Characteristics Of Notch Of Harty On Ankle Mrimentioning

confidence: 99%

The Notch of Harty (Pseudodefect of the Tibial Plafond): Frequency and Characteristic Findings at MRI of the Ankle

Boutin

Chang

Bateni

et al. 2015

American Journal of Roentgenology

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“…Although the optimal treatment strategy for OLTPs remains unclear, arthroscopic surgery such as debridement, curettage, abrasion arthroplasty, transmalleolar drilling, microfracture, iliac crest bone grafting, or osteochondral grafting is performed in a manner similar to that described for an OCL of the talar dome. 3 , 4 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 For example, six reported cases of OLTPs in Japan underwent arthroscopic surgery. 9 , 10 , 11 , 12 , 13 Specifically, these patients underwent loose body removal, drilling, or bone grafting, with additional synovectomy and debridement.…”

Section: Discussionmentioning

confidence: 99%

“… 2 Most OCLs of the ankle joint occur in the talar dome, while OCLs of the tibial plafond (OLTPs) are far less common. 3 , 4 , 5 , 6 , 7 There are only a few references to OLTPs in the orthopaedic literature 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 and guidelines for providing appropriate treatment recommendations have not been established. The aim of this report is to present new treatment strategy for OLTPs.…”

Section: Introductionmentioning

confidence: 99%

Osteochondral lesion of the tibial plafond treated with a retrograde osteochondral autograft: a report of two cases

Okamura¹,

Sugimoto²,

Isomoto³

et al. 2017

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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BackgroundOsteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. We describe two cases of an OLTP that were treated with retrograde osteochondral autograft.Case ReportsThe first case was a 27-year-old basketball player and the second case was a 38-year-old soccer player. We harvested osteochondral autografts from the nonweight-bearing area of the lateral femoral condyle of the patient’s ipsilateral knees. The grafts were reversed and inserted into the bone tunnel reaching the OLTPs starting proximally and moving distally. The first patient was able to play professional basketball 14 months after the procedure and continues to play 5 years and 6 months later. The second patient was able to play recreational soccer 9 months after the procedure and continues to play 4 years later.ConclusionUse of the retrograde osteochondral autograft produced satisfactory results including the return to sports. The retrograde osteochondral autograft can be considered recommendable for treating OLTPs.

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Functional and MRI Outcomes After Arthroscopic Microfracture for Treatment of Osteochondral Lesions of the Distal Tibial Plafond

Abstract: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Cited by 35 publications

References 34 publications

Correlation of SF-36 and SF-12 Component Scores in Patients With Diabetic Foot Disease

Correlation of SF-36 and SF-12 Component Scores in Patients With Diabetic Foot Disease

The Notch of Harty (Pseudodefect of the Tibial Plafond): Frequency and Characteristic Findings at MRI of the Ankle

Osteochondral lesion of the tibial plafond treated with a retrograde osteochondral autograft: a report of two cases

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