Long-term outcome for repair of osteochondral lesions of the talus by osteochondral autograft: A series of 56 Mosaicplasties®

l’Escalopier, Nicolas de; Amouyel, Thomas; Mainard, Didier; Lopes, Ronny; Cordier, Guillaume; Baudrier, Nicolas; Benoist, Jonathan; Ferrière, Victor Dubois; Leiber, Frédéric; Morvan, Antoine; Maynou, C.; Padiolleau, Giovany; Barbier, Olivier

doi:10.1016/j.otsr.2021.103075

Cited by 15 publications

(10 citation statements)

References 50 publications

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“…The difference represented well in de l'Escalopier et al's published study, where the same population was assessed with AOFAS (mean 80.6 ± 19.4) and FAOS (mean 77.8 ± 21.5) scores with a mean follow-up of 8.5 years (range, 5-20 years). 25 Moreover, there is no significant difference between our long-term functional score findings and other studies' short-and midterm outcomes. [34][35][36] We managed to process the data of 24 soccer players with an average of 13.84 ± 3.65 (10.22-22.82) years of follow-up time.…”

Section: Discussioncontrasting

confidence: 47%

“…Mosaicplasty's advantage lies in restoring hyaline cartilage with better mechanical properties than the cicatricial fibrocartilage produced in palliative techniques. 25 Our study's purpose is to investigate the long-term outcomes of talar mosaicplasty with the data retrospectively collected from our institute. Our hypothesis is that there is no significant difference between the long-term findings compared to other studies' short-and mid-term outcomes, even in a specifically exposed population.…”

Section: Introductionmentioning

confidence: 99%

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Long-term outcomes of talus osteochondral autologous transplantation in soccer players: 24 mosaicplasty with more than 10 years of follow-up

Keszég

Pánics

Gulácsi

et al. 2022

Journal of Cartilage & Joint Preservation

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Section: Discussioncontrasting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

Long-term outcomes of talus osteochondral autologous transplantation in soccer players: 24 mosaicplasty with more than 10 years of follow-up

Keszég

Pánics

Gulácsi

et al. 2022

Journal of Cartilage & Joint Preservation

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“…Studies have shown that the long-term clinical outcome after mosaicplasty varies greatly depending on age, gender, and the size of the lesion [31,47,51,54,[57][58][59][60][61][62][63].…”

Section: Discussionmentioning

confidence: 99%

Mosaicplasty of the Femoral Head: A Systematic Review and Meta-Analysis of the Current Literature

Athanasiou¹,

Argyropoulou²,

Antzoulas³

et al. 2022

Cureus

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Osteochondral lesions of the femoral head are rare. For the treatment of these lesions, various jointpreserving procedures, particularly in young, active patients, have been developed. Mosaicplasty is a wellestablished surgical procedure for the knee. However, there is little evidence that this method can also be used to treat osteochondral lesions in the hip. The indication for cartilage procedures continues to evolve for the knee, and a similar strategy may be adopted for the hip joint. Due to limited evidence and a lack of experience, mosaicplasty treatment of these lesions remains challenging, especially in young patients. This study shows that open and arthroscopic management using the knee and femoral head as donor sites yielded good to excellent short-to mid-term outcomes. For osteochondral lesions of the femoral head, mosaicplasty may be a new alternative treatment option, although this needs to be proven with longer follow-ups and in a larger sample of patients.

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“…The most frequently reported clinical outcome measures were the AOFAS score (n = 16) and the VAS score (n = 15). The meta-analysis, which pooled data from seven studies for VAS and eight studies for AOFAS, demonstrated that significant improvement in symptoms is achieved following OATS for OLT [ 17 , 18 , 23 , 41 , 42 , 43 , 44 , 48 , 49 ]. The meta-analysis demonstrated that a mean VAS reduction of 4.22 (95% CI -4.54 to -3.90) can be expected following OATS for OLT (Figure 2 ).…”

Section: Reviewmentioning

confidence: 99%

“…In addition, they did not perform a meta-analysis of their results. Finally, since the publication of that systematic review, a number of studies have been performed and published [14,[16][17][18][19][20][21][22][23][24][25]. Therefore, the aim of this systematic review and meta-analysis was to evaluate the current evidence for the use of OATS in the management of OLT.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Osteochondral Autograft Transfer in the Management of Osteochondral Lesions of the Talus: A Systematic Review and Meta-Analysis

Feeney¹

2022

Cureus

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Osteochondral lesions of the talus (OLT) are common following ankle trauma. Operative treatment is often required, with osteochondral autografting frequently performed for large or cystic lesions, or following failed primary surgery. The aim of this systematic review was to evaluate the current evidence for osteochondral autograft transfer system (OATS) in the management of OLT. A systematic search of the PubMed, EMBASE, Scopus, and Cochrane Library databases was performed based on the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. Study quality was assessed using the modified Coleman Methodology Score (CMS). Meta-analysis was carried out using RevMan, version 5.4 (The Cochrane Collaboration, 2020). A total of 23 studies were included. The mean modified CMS was 48.1±7.47. Fourteen studies reported preoperative and postoperative Visual Analog Scale (VAS) and American Orthopaedic Foot & Ankle Score (AOFAS). The aggregate mean preoperative and postoperative VAS score across 14 studies was 6.47±1.35 and 1.98±1.18, respectively. Meta-analysis of seven studies on 210 patients found that OATS resulted in a significant reduction in VAS score compared to baseline (Mean Difference {MD} -4.22, 95% Confidence Interval {CI} -4.54 to -3.90, P < 0.0001). The aggregate mean preoperative and postoperative AOFAS scores across 14 studies were 56.41±8.52 and 87.14±4.8, respectively. Based on eight studies on 224 patients, OATS resulted in a significant improvement in AOFAS score compared to baseline (MD 29.70, 95% CI 25.68 to 33.73, P = < 0.0001). Donor site pain occurred in 9% of cases. Current evidence from low-quality studies suggests that OATS is a safe and effective treatment option for OLT, though it is associated with a risk of donor site morbidity.

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Long-term outcome for repair of osteochondral lesions of the talus by osteochondral autograft: A series of 56 Mosaicplasties®

Cited by 15 publications

References 50 publications

Long-term outcomes of talus osteochondral autologous transplantation in soccer players: 24 mosaicplasty with more than 10 years of follow-up

Long-term outcomes of talus osteochondral autologous transplantation in soccer players: 24 mosaicplasty with more than 10 years of follow-up

Mosaicplasty of the Femoral Head: A Systematic Review and Meta-Analysis of the Current Literature

The Effectiveness of Osteochondral Autograft Transfer in the Management of Osteochondral Lesions of the Talus: A Systematic Review and Meta-Analysis

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