Results of the osteochondral autologous transplantation for treatment of osteochondral lesions of the talus with harvesting from the ipsilateral talar articular facets

Wan, Dong; Huang, Heng; Hu, Mao Zhong; Dong, Quan Yu

doi:10.1007/s00264-022-05380-7

Cited by 14 publications

(19 citation statements)

References 37 publications

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“…This is an important aspect of OATS that should be discussed with patients prior to surgery. Interestingly, the three studies, on 93 patients who harvested the autograft from the ipsilateral talus, reported no patients had donor site pain at follow-up, suggesting that autograft harvested from the talus may reduce the incidence of donor site pain compared to the ipsilateral knee, though larger comparative studies are required to confirm this [41][42][43].…”

Section: Surgical Technique and Donor Site Morbiditymentioning

confidence: 99%

“…The incidence of donor site pain is summarised in Table 5 . No donor site pain was reported from any patient in the three studies that harvested the autograft from the ipsilateral talus, nor in the one study that harvested the graft from the ipsilateral distal tibia [ 41 - 44 ]. Among the 19 studies that harvested the autograft from the ipsilateral knee, two did not report on donor site pain [ 25 , 45 ], while four reported zero cases of donor site pain, including one which harvested the autograft from the posterior femoral condyle [ 16 , 17 , 22 , 37 ].…”

Section: Reviewmentioning

confidence: 99%

“…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%

“…FIGURE 3: Forest Plot Depicting Meta-Analysis of AOFAS Score SD = Standard Deviation; CI = Confidence Interval; AOFAS = American Orthopaedic Foot & Ankle ScoreSource: References[17,20,22,[40][41][42]44,45] …”

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confidence: 99%

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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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Section: Surgical Technique and Donor Site Morbiditymentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

mentioning

confidence: 99%

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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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“…We found the article in International Orthopaedics by Quan Yu Dong and Dong Dong Wan [1]. Quan Yu Dong and Dong Dong Wan provided a new idea for the treatment of osteochondral lesions of the talus by evaluating the efficacy of autologous cartilage transplantation on the articular surface of the ipsilateral talus.…”

Section: Dear Editormentioning

confidence: 99%

Comment on article by Quan Yu Dong and Dong Dong Wan et al.: Results of the osteochondral autologous transplantation with great interest for treatment of osteochondral lesions of the talus with harvesting from the ipsilateral talar articular facets

Qian

Cheng

2022

International Orthopaedics (SICOT)

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Regarding Further Evidence Required To Determine Whether the Presence of Cysts Negatively Affects the Prognosis of Osteochondral Lesions of the Talus

Zhang,

Cai,

2023

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Results of the osteochondral autologous transplantation for treatment of osteochondral lesions of the talus with harvesting from the ipsilateral talar articular facets

Cited by 14 publications

References 37 publications

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

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

Comment on article by Quan Yu Dong and Dong Dong Wan et al.: Results of the osteochondral autologous transplantation with great interest for treatment of osteochondral lesions of the talus with harvesting from the ipsilateral talar articular facets

Regarding Further Evidence Required To Determine Whether the Presence of Cysts Negatively Affects the Prognosis of Osteochondral Lesions of the Talus

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