Medium-term outcomes of mosaicplasty versus arthroscopic microfracture with or without platelet-rich plasma in the treatment of osteochondral lesions of the talus

Güney, Ahmet; Yurdakul, Emre; Karaman, Íbrahím; Bilal, Ökkeş; Kafadar, İbrahim Halil; Oner, Mithat

doi:10.1007/s00167-015-3834-y

Cited by 56 publications

(76 citation statements)

References 25 publications

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“…[9][10][11][12]7 Guney and colleagues also report in their study that mosaicplasty reduces the pain of affected individuals more than arthroscopic microfracture and this result can be due to the quality of the hyaline cartilage formed with the former strategy. 9 Almost can be said that the mosaicplasty is a reliable method for reducing symptoms under the conditions of Osteochondral lesions of the ankle joint. Some studies have acknowledged that the subchondral bone has an important role as a pain source that heals in this treatment.…”

Section: Resultsmentioning

confidence: 96%

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Osteochondral lesions of the ankle joint and mosaicplasty: literature review

Bahramian

Nourbakhsh

Mirzaee

et al. 2018

IPMRJ

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Osteochondral lesions of the ankle joint are one of the common disorders, especially after ankle joint injury. This study reports the results of studes that evaluated the mosaicplasty procedure for osteochondral lesions of the ankle joint. This review included all articles published during 2000 to 2018 and search was performed in databases of Science Direct, Google Scholar, PubMed and ISI Web of Knowledge using OR, AND, NOT between the selected keywords. The results of this review article showed that mosaicplasty can reduce pain and increase function in patients with Osteochondral lesions of the ankle joint and so it can be a good treatment option.

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Section: Resultsmentioning

confidence: 96%

“…13 Six studies have confirmed the positive effect of mosaicplasty on the functional ability of individuals with Osteochondral lesions of the ankle joint. 7,9,10,12,14,15 34% of the studies presented did not report any benefits. The results of these studies show that these patients with functional limitations will perform better after treatment.…”

Section: Resultsmentioning

confidence: 96%

Osteochondral lesions of the ankle joint and mosaicplasty: literature review

Bahramian

Nourbakhsh

Mirzaee

et al. 2018

IPMRJ

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“…Several methods have been described in the literature for the treatment of OLT. 1,[3][4][5][6][7][8]11,14,15 Different treatment strategies are adopted according to the localization, dimensions and aetiology of the lesion. Successful results have been reported with the use of several different protocols such as nonoperative treatments, arthroscopic drilling and the application of microfracture, fragment excision or curettage, bone grafting or osteochondral transplantation (OCT).…”

Section: Discussionmentioning

confidence: 99%

A triplanar osteotomy technique in arthroscopy-assisted ankle mosaicplasty

başal¹,

Aslan²

2020

J Orthop Surg (Hong Kong)

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Purpose: Osteochondral lesions of the talus are lesions that are seen particularly in the young age group and are often related to sports injuries and trauma. These lesions, which show late symptoms radiologically, can be determined in the early stages with magnetic resonance imaging. The aim of this study was to present a new osteotomy technique to reduce the complications of mosaicplasty surgery to a minimum and provide an early return to work. Methods: A total of 11 patients who had cartilage lesions due to osteochondritis dissecans in the medial aspect of the talus underwent mosaicplasty after a triplanar osteotomy. The dimensions of the lesion and the depth of the triplanar osteotomy were determined preoperatively. Coronal, sagittal and transverse cuts were made at the depth defined arthroscopically. Following the osteotomy, an osteochondral graft taken from the ipsilateral knee was placed in the prepared area. Osteotomy side was fixed with one or two cannulated screws following mosaicplasty. Results: With this technique, weight-bearing can be immediate in cases with no need for osteotomy in the joint surface. In cases including the joint surface, partial weight-bearing is permitted after 4 weeks and can be increased as tolerated. In the 11 cases treated with this technique, full weight-bearing was achieved at mean 5 weeks (range, 5-8 weeks). No shift (upward displacement of osteotomized fragment) or non-union was seen in any patient. Conclusion: With the triplanar osteotomy technique described here, potential shift complications can be reduced to a minimum. As only the lesion region is targeted, the osteochondral surface formed by the fracture is much less. Study design: Case Series; Level of Evidence, 4.which show late symptoms on X-ray views, can be determined in the early stages with magnetic resonance imaging (MRI). 6,8 Therefore, MRI is applied to many cases with radiological suspicion. More than 60% of OCD lesions are seen in the medial dome of the talus. 6,9 A 9-zone grid plan was described by Raikin et al. for the localization of

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“…Additionally, Smyth et al[57] found in a rabbit model, that application of PRP at time of AOT improved the integration of the osteochondral graft at the cartilage interface and decreased graft degeneration. In clinical studies, Guney et al[58] performed a randomized control trial in 19 OLT patients and reported that BMS with PRP had better functional outcomes when compared with BMS alone. Görmeli et al[59] compared the effect of PRP and HA following BMS for OLT and found at 15.3-mo follow-up, clinical improvement after PRP with HA when compared to HA or saline injection alone.…”

Section: Biologic Augumentation For Cartilage Repairmentioning

confidence: 99%

Current management of talar osteochondral lesions

Gianakos¹,

Yasui²,

Hannon³

et al. 2017

WJO

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Osteochondral lesions of the talus (OLT) occur in up to 70% of acute ankle sprains and fractures. OLT have become increasingly recognized with the advancements in cartilage-sensitive diagnostic imaging modalities. Although OLT may be treated nonoperatively, a number of surgical techniques have been described for patients whom surgery is indicated. Traditionally, treatment of symptomatic OLT have included either reparative procedures, such as bone marrow stimulation (BMS), or replacement procedures, such as autologous osteochondral transplantation (AOT). Reparative procedures are generally indicated for OLT < 150 mm2 in area. Replacement strategies are used for large lesions or after failed primary repair procedures. Although short- and medium-term results have been reported, long-term studies on OLT treatment strategies are lacking. Biological augmentation including platelet-rich plasma and concentrated bone marrow aspirate is becoming increasingly popular for the treatment of OLT to enhance the biological environment during healing. In this review, we describe the most up-to-date clinical evidence of surgical outcomes, as well as both the mechanical and biological concerns associated with BMS and AOT. In addition, we will review the recent evidence for biological adjunct therapies that aim to improve outcomes and longevity of both BMS and AOT procedures.

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Medium-term outcomes of mosaicplasty versus arthroscopic microfracture with or without platelet-rich plasma in the treatment of osteochondral lesions of the talus

Abstract: II.

Cited by 56 publications

References 25 publications

Osteochondral lesions of the ankle joint and mosaicplasty: literature review

Osteochondral lesions of the ankle joint and mosaicplasty: literature review

A triplanar osteotomy technique in arthroscopy-assisted ankle mosaicplasty

Current management of talar osteochondral lesions

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