Osteochondral transfer using a transmalleolar approach for arthroscopic management of talus posteromedial lesions

Largey, A.; Fauré, Patrick; Hebrard, W.; Hamoui, Mazen; Canovas, François

doi:10.1016/j.otsr.2009.06.005

Cited by 15 publications

(13 citation statements)

References 37 publications

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“…After full-text screening, 51 studies were included. 2 , 11 - 60 There was an overall consensus in all cases of article selection between the first 2 authors.…”

Section: Resultsmentioning

confidence: 99%

Location Distribution of 2,087 Osteochondral Lesions of the Talus

et al. 2020

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Objective The primary aim of this study was to evaluate the exact location distribution in patients with osteochondral lesions of the talus (OLTs) using a 9-grid scheme. The secondary aim is to match lesion location to lesion size, arthroscopic or open operation, and trauma occurrence. Methods A systematic review was performed in the databases PubMed, EMBASE, and Cochrane. Search terms consisted of “talus” and “osteochondral lesion.” Two independent reviewers evaluated search results and conducted the quality assessment using the Methodological Index for Non-Randomized Studies (MINORS). Primary outcome measure was OLT location in the 9 zone-grid. Secondary outcome measures were OLT size in 9-zones, preoperative radiological modality use, demographic lesion size variables as well as open or arthroscopic treatment. Results Fifty-one articles with 2,087 OLTs were included. Heterogeneity concerning methodological nature was observed and methodological quality was low. The posteromedial (28%) and centromedial (31%) zones combined as one location was the location with the highest incidence of OLTs with a rate of 59%. Individual OLT size was reported for only 153 lesions (7%). Preoperative combination of X-ray and magnetic resonance imaging (MRI), and/or computed tomography (CT) was reported in 20 studies (43%). Trauma was reported in 78% of patients. Furthermore, 67% was treated arthroscopically and 76% received primary OLT treatment. Conclusion The majority of OLTs are located in the posteromedial and centromedial zone, while the largest OLTs were reported in the centrocentral zone. Further research is required to identify the prognostic impact of location occurrence on the outcomes following OLT treatment.

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“…After full-text screening, 51 studies were included. 2 , 11 - 60 There was an overall consensus in all cases of article selection between the first 2 authors.…”

Section: Resultsmentioning

confidence: 99%

Location Distribution of 2,087 Osteochondral Lesions of the Talus

et al. 2020

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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

145

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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“…A total of 20 publications were included in the systematic review. 22-24,28-44 , The defined data that were reported or not reported in the studies included in this review are listed in Table 2. Table 3 displays the average percentage of variables reported in each of the 6 categories.…”

Section: Resultsmentioning

confidence: 99%