Good clinical and functional outcomes at mid-term following autologous osteochondral transplantation for osteochondral lesions of the talus

Shimozono, Yoshiharu; Hurley, Eoghan T.; Myerson, C Lucas; Kennedy, John G.

doi:10.1007/s00167-018-4917-3

Cited by 56 publications

(65 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…OAT was used to treat the patients with large subchondral cysts. A number of studies have reported good to excellent outcomes of MF and OAT at a mid-term follow-up [27][28][29][30][31][32]. Besides the management of intraarticular lesions, lateral ligaments reconstruction was performed for the patients combined with CAI.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Osteochondral Lesions of the Talus in Different Age Groups

Cao

Huang

et al. 2020

Int J Sports Med

View full text Add to dashboard Cite

We analyzed the characteristics of 112 consecutive patients who were operatively treated for osteochondral lesions of the talus from August 2014 to April 2019 in our hospital. The patients were divided into three age groups: young-adult (<40 years), middle-age (40–60 years) and old-age (>60 years). The basic clinical features, localization and size of the lesions, Hepple stage, and surgical procedures were compared among groups. Several significant differences were found on the characteristics of osteochondral lesions of the talus among age groups. There were more female patients in the old-age group (p<0.01), and old patients had a longer duration of symptoms (p<0.05). The OLTs in middle- and old-age patients were mostly located in the medial part of the talus with larger depth (p<0.01). Hepple stage 5, the cystic type, was very common in the old-age group (p<0.01). With regard to surgical procedures, more osteochondral autograft transplantations were applied in the old-age group (p<0.01). Female and deep medial talar subchondral cyst is the typical characteristics of patients over 60 years old. Age is an important factor that must be considered when choosing surgery procedure for patients with osteochondral lesions of the talus.

show abstract

Section: Discussionmentioning

confidence: 99%

Characteristics of Osteochondral Lesions of the Talus in Different Age Groups

Cao

Huang

et al. 2020

Int J Sports Med

View full text Add to dashboard Cite

show abstract

“…As lesões osteocondrais do tálus são lesões relativamente frequentes e a literatura tem orientado o seu tratamento dependendo do tamanho, profundidade e se a lesão é primária ou não. O auto-enxerto osteocondral é uma técnica de substituição indicada para lesões grandes, profundas e recorrentes (após falha de procedimentos reparatórios como estimulação da medula óssea) (1,6) .…”

Section: Discussionunclassified

“…Os resultados clínicos e radiológicos são homogeneamente bons na literatura (1) , porém falhas ocorrem em até 10% dos pacientes (4) .…”

Section: Discussionunclassified

“…É uma região submetida a menor pressão mecânica do que outras áreas do joelho (5) , sendo uma área basicamente de deslizamento, e apresenta uma baixa incidência de complicações (2) . A taxa de morbidade relativa à área doadora gira ao redor de 4% dos casos e diminui ao longo do tempo (1) .…”

Section: Discussionunclassified

“…Shimozono et al (1) consideram a terapia de substituição como a principal alternativa na abordagem das lesões, com áreas maiores do que 107mm 2 , com cistos sub-condrais e nas revisões.…”

Section: Introductionunclassified

See 2 more Smart Citations

En bloc osteochondral autograft in the treatment of osteochondral lesions of the talus

et al. 2019

View full text Add to dashboard Cite

Osteochondral lesions of the talus are common, and the choice of treatment is based on the extent, depth and symptoms. Osteochondral autografts are indicated for large, deep and recurrent lesions. The authors describe the treatment of these lesions using an en bloc osteochondral autograft obtained from the lateral trochlea of the ipsilateral knee performed in 4 ankles and evaluate the outcomes in the medium term with regard to complaints in the recipient site, donor site and aspect of the reconstructed site. The described procedure proved to be effective in the treatment of complex osteochondral lesions of the talus, restoring the normal functional pattern in the final evaluation. Level of Evidence V; Therapeutic Studies; Expert Opinion.

show abstract