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

D’Ambrosi, Riccardo; Usuelli, Federico Giuseppe

doi:10.21037/atm.2018.09.24

Cited by 9 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, small cohorts with metal cap resurfacing were reported for revision surgeries of OLT. 7 Vuurberg et al 25 reported 80% satisfaction with a follow-up of 5 years, and only 2 of 38 patients needed arthrodesis. Ettinger et al 9 also reported their experience with a metal cap, and 6 of the 10 patients were satisfied.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcomes of Autologous Matrix-Related Chondrogenesis to Treat Large Osteochondral Lesions of the Talus

Aslan

2022

Foot Ankle Int.

View full text Add to dashboard Cite

Background: Osteochondral lesions of the talus (OLT) treatment is widely debated when the lesion size exceeds 150 mm2. The aim of this study was to assess functional outcome and satisfaction rates of the autologous matrix-related chondrogenesis (AMIC) technique and compare the outcomes for OLTs larger than 150 mm2 that were classified as primary, primary with local tumor-related OLT, or revision cases. Methods: A total of 77 patients who were operated by AMIC were included. The average age of the population was 39.6 years. The mean body mass index (BMI) was 27.2. Smoker rate was 28.5% of the population. Forty-two patients were primary cases, 14 patients had primary with local tumor-related OLT, and 18 patients were revision cases. Overall and subgroup functional outcomes were evaluated by visual analog scale (VAS) and Foot and Ankle Disability Index (FADI) scores. Satisfaction rates were queried, and failures were recorded. Results: After a median follow-up of 32 months, the score improvement for primary, primary with local tumor-related, and revision group were for VAS, 5.4 ± 0.4, 5.6 ± 0.7, and 3.6 ± 0.8, and for FADI, 46.5 ± 3.8, 45.3 ±6.5, and 26.6 ± 6.7, respectively ( P < .001). Intergroup comparison showed greater improvement for the primary OLT group when compared to the revision group ( P < .001). The failure rates for the primary, primary with local tumor-related, and revision group were 4.8%, 11.8%, and 38.9%, respectively. Conclusion: AMIC procedure provides good functional outcome and satisfactory rates in patients with primary and primary with local tumor-related OLT larger than 150 mm2, but in revision cases, the AMIC success rate was not encouraging as all had advanced OLT operative interventions. Level of Evidence: Level III, therapeutic retrospective study.

show abstract

Section: Discussionmentioning

confidence: 99%

Functional Outcomes of Autologous Matrix-Related Chondrogenesis to Treat Large Osteochondral Lesions of the Talus

Aslan

2022

Foot Ankle Int.

View full text Add to dashboard Cite

show abstract

“…Several treatment options are available for FCD of the talus. For younger patients with isolated localized defects and without ankle deformity, biological repair techniques are the preferred therapy options [ 6 ]. Isolated symptomatic defects of the talus in middle-aged patients are difficult to treat, as patients might neither be suitable for biological repair treatments nor for replacement/fusion surgeries [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Unicompartmental Cartilage Defects of the Knee with Unicompartmental Knee Arthroplasty, Patellofemoral Partial Knee Arthroplasty or Focal Resurfacing

Springer

Boettner

2021

Life

View full text Add to dashboard Cite

Focal chondral defects are common lesions of the articular cartilage. They are predominantly found on the medial femoral condyle and often progress to osteoarthritis of the knee. Various conservative treatment options are available. The conservative treatment might reduce pain and delay the progress of degenerative processes. However, restoration of the articular cartilage cannot be accomplished. If the conservative treatment fails unicompartmental arthroplasty, patellofemoral joint replacement or focal resurfacing are reasonable options to postpone total knee arthroplasty. A careful patient selection before surgery is crucial for all three treatment options. The following overview reports indications and outcomes of medial partial knee replacement, patellofemoral partial knee replacement, and focal resurfacing treatment options for focal chondral defects.

show abstract

The Ankle Spacer—a hemiarthroplasty for treatment of severe osteochondral defects of the talus

Lerch

Yao

Ettinger

et al. 2021

Oper Orthop Traumatol

View full text Add to dashboard Cite

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

Abstract: of painful tibiotalocalcaneal arthrodesis to total ankle replacement using a 3-component mobile bearing prosthesis. Foot Ankle Surg 2017. [Epub ahead of print].

Cited by 9 publications

References 21 publications

Functional Outcomes of Autologous Matrix-Related Chondrogenesis to Treat Large Osteochondral Lesions of the Talus

Functional Outcomes of Autologous Matrix-Related Chondrogenesis to Treat Large Osteochondral Lesions of the Talus

Treatment of Unicompartmental Cartilage Defects of the Knee with Unicompartmental Knee Arthroplasty, Patellofemoral Partial Knee Arthroplasty or Focal Resurfacing

The Ankle Spacer—a hemiarthroplasty for treatment of severe osteochondral defects of the talus

Contact Info

Product

Resources

About