Metal Resurfacing Inlay Implant for Osteochondral Talar Defects After Failed Previous Surgery: A Midterm Prospective Follow-up Study

Vuurberg, Gwendolyn; Reilingh, Mikel L.; Bergen, Christiaan J. A. van; Eekeren, Inge C. M. van; Gerards, Rogier M.; Dijk, C. Niek van

doi:10.1177/0363546518764916

Cited by 26 publications

(27 citation statements)

References 44 publications

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“…There were 2 studies identified with a total of 49 patients. 19,96 An overview of the study characteristics, patient characteristics, and outcomes within this group is shown in Table 10.…”

Section: Resultsmentioning

confidence: 99%

Return to Sports After Surgical Treatment of Osteochondral Defects of the Talus: A Systematic Review of 2347 Cases

Steman

Dahmen

Lambers

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background: Osteochondral defects (OCDs) of the talus are found subsequent to ankle sprains and ankle fractures. With many surgical treatment strategies available, there is no clear evidence on return-to-sport (RTS) times and rates. Purpose: To summarize RTS times and rates for talar OCDs treated by different surgical techniques. Study Design: Systematic review; Level of evidence, 4. Methods: The literature from January 1996 to November 2018 was screened, and identified studies were divided into 7 different surgical treatment groups. The RTS rate, with and without associated levels of activity, and the mean time to RTS were calculated per study. When methodologically possible, a simplified pooling method was used to combine studies within 1 treatment group. Study bias was assessed using the MINORS (Methodological Index for Non-Randomized Studies) scoring system. Results: A total of 61 studies including 2347 talar OCDs were included. The methodological quality of the studies was poor. There were 10 retrospective case series (RCSs) that investigated bone marrow stimulation in 339 patients, with a pooled mean rate of RTS at any level of 88% (95% CI, 84%-91%); 2 RCSs investigating internal fixation in 47 patients found a pooled RTS rate of 97% (95% CI, 85%-99%), 5 RCSs in which autograft transplantation was performed in 194 patients found a pooled RTS rate of 90% (95% CI, 86%-94%), and 3 prospective case series on autologous chondrocyte implantation in 39 patients found a pooled RTS rate of 87% (95% CI, 73%-94%). The rate of return to preinjury level of sports was 79% (95% CI, 70%-85%) for 120 patients after bone marrow stimulation, 72% (95% CI, 60%-83%) for 67 patients after autograft transplantation, and 69% (95% CI, 54%-81%) for 39 patients after autologous chondrocyte implantation. The mean time to RTS ranged from 13 to 26 weeks, although no pooling was possible for this outcome measure. Conclusion: Different surgical treatment options for talar OCDs allow for adequate RTS times and rates. RTS rates decreased when considering patients’ return to preinjury levels versus return at any level.

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“…There were 2 studies identified with a total of 49 patients. 19,96 An overview of the study characteristics, patient characteristics, and outcomes within this group is shown in Table 10.…”

Section: Resultsmentioning

confidence: 99%

Return to Sports After Surgical Treatment of Osteochondral Defects of the Talus: A Systematic Review of 2347 Cases

Steman

Dahmen

Lambers

et al. 2019

Orthopaedic Journal of Sports Medicine

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“…We read with great interest the article “Metal Resurfacing Inlay Implant for Osteochondral Talar Defects After Failed Previous Surgery: A Midterm Prospective Follow-up Study” by Vuurberg et al 3…”

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Metal Resurfacing Inlay Implant for Osteochondral Talar Defects After Failed Previous Surgery: A Midterm Prospective Follow-up Study: Letter to the Editor

Xu¹,

Lü²,

Li³

2019

Am J Sports Med

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“…In recent years, we have observed a "back to the future" due to the use of a surgical strategy that involves focal talus resurfacing metal implants (2). The concept of resurfacing was born in the 1960s with Sir John Charnley, while the first reference as regards foot and ankle is dated 1981 with Daniels et al (3,4).…”

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confidence: 99%

“…Metal resurfacing has found much of its clinical use in revision surgery: recently Vuurberg et al (2) analyzed 38 patients who underwent metal resurfacing after previous failed OLTs surgery. Mean age at surgery was 39 years and patients were evaluated after a mean follow-up of 5.1 years.…”

mentioning

confidence: 99%

“…Vuurberg's article presents interesting thoughts as regards metal resurfacing indications': in fact the authors reported that in 3 patients the HemiCAP system was used as first implant, while 20 patients had undergone previous surgery more than once (2). In this respect there is still a lot of confusion about surgical indications of hemiCAP, especially considering the excellent results of the ankle replacement; two patients of the study in which the metal resurfacing has failed, have been subjected to a consequent arthrodesis, with all the disadvantages related to this type of surgery (20).…”

mentioning

confidence: 99%

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Osteochondral lesions of the talus: are we ready for metal?

D’Ambrosi

Usuelli

2018

Ann. Transl. Med

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Metal Resurfacing Inlay Implant for Osteochondral Talar Defects After Failed Previous Surgery: A Midterm Prospective Follow-up Study

Abstract: This study shows that the metal implant is an effective technique when assessed at midterm follow-up for OCDs of the medial talar dome after failed previous surgery.

Cited by 26 publications

References 44 publications

Return to Sports After Surgical Treatment of Osteochondral Defects of the Talus: A Systematic Review of 2347 Cases

Return to Sports After Surgical Treatment of Osteochondral Defects of the Talus: A Systematic Review of 2347 Cases

Metal Resurfacing Inlay Implant for Osteochondral Talar Defects After Failed Previous Surgery: A Midterm Prospective Follow-up Study: Letter to the Editor

Osteochondral lesions of the talus: are we ready for metal?

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