Indications and limitations of osteochondral autologous transplantation in osteochondritis dissecans of the talus

Woelfle, Julia V.; Reichel, Heiko; Nelitz, Manfred

doi:10.1007/s00167-013-2483-2

Cited by 40 publications

(26 citation statements)

References 23 publications

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“…Kreuz et al 7 reported better results in patients without an osteotomy or in patients with a tibial block osteotomy compared with those with medial malleolar osteotomy. Woelfle et al 39 did not find a statistically significant difference between patients with or without an osteotomy.…”

Section: Discussionmentioning

confidence: 86%

“…Of the complications related to the ankle (figure 3), subchondral oedema and incongruity of the ankle joint were not correlated with clinical symptoms and did not affect the clinical outcome 6 39 40. Soft tissue impingement, surface incongruity of transplants and the uncovered area between plugs, however, did affect clinical outcome 36 41 51.…”

Section: Resultsmentioning

confidence: 97%

“…In the majority of included articles, this was argued against by patients, stating that they did not feel like prior treatment influenced outcomes. Therefore, OATS was concluded to be an efficient treatment after failing primary surgical treatment 7 18 24 32 39 43…”

Section: Discussionmentioning

confidence: 99%

“…Articles show contradictory results regarding the influence of number and size of grafts on surgery outcome 18 25 28 36 39 45 54. To come to any conclusions, further research on this subject and on donor site morbidity is required.…”

Section: Discussionmentioning

confidence: 99%

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Good clinical outcome after osteochondral autologous transplantation surgery for osteochondral lesions of the talus but at the cost of a high rate of complications: a systematic review

et al. 2016

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Section: Discussionmentioning

confidence: 86%

Section: Resultsmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Good clinical outcome after osteochondral autologous transplantation surgery for osteochondral lesions of the talus but at the cost of a high rate of complications: a systematic review

et al. 2016

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“…It was possible to perform a simplified pooling method for those studies with a retrospective case series setting investigating an OATS procedure and an osteoperiosteal cylinder graft procedure, and this group of 78 treated talar OCDs yielded a pooled success rate of 77% [CI 66–85%] (Fig. 4) [3, 40, 53, 54, 63, 64, 132]. …”

Section: Resultsmentioning

confidence: 99%

No superior treatment for primary osteochondral defects of the talus

Dahmen

Lambers

Reilingh

et al. 2017

Knee Surg Sports Traumatol Arthrosc

144

131

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PurposeThe purpose of this systematic literature review is to detect the most effective treatment option for primary talar osteochondral defects in adults.MethodsA literature search was performed to identify studies published from January 1996 to February 2017 using PubMed (MEDLINE), EMBASE, CDSR, DARE, and CENTRAL. Two authors separately and independently screened the search results and conducted the quality assessment using the Newcastle–Ottawa Scale. Subsequently, success rates per separate study were calculated. Studies methodologically eligible for a simplified pooling method were combined.ResultsFifty-two studies with 1236 primary talar osteochondral defects were included of which forty-one studies were retrospective and eleven prospective. Two randomised controlled trials (RCTs) were identified. Heterogeneity concerning methodological nature was observed, and there was variety in reported success rates. A simplified pooling method performed for eleven retrospective case series including 317 ankles in the bone marrow stimulation group yielded a success rate of 82% [CI 78–86%]. For seven retrospective case series investigating an osteochondral autograft transfer system or an osteoperiosteal cylinder graft insertion with in total 78 included ankles the pooled success rate was calculated to be 77% [CI 66–85%].ConclusionsFor primary talar osteochondral defects, none of the treatment options showed any superiority over others.Level of evidenceIV.

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