Treatment of local talus osteochondral defects using mosaic autogenous osteochondral plasty

Koryshkov, N. A; Khapilin, A. P.; Khodzhiev, A. S; Воронкевич, И.А.; Огарёв, Е. В.; Simonov, A. B.; Зайцев, О. В.

doi:10.21823/2311-2905-2014-0-4-90-98

Traumatology and Orthopedics of Russia

2014

DOI: 10.21823/2311-2905-2014-0-4-90-98

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Treatment of local talus osteochondral defects using mosaic autogenous osteochondral plasty

N. A Koryshkov¹,

A. P. Khapilin²,

A. S Khodzhiev³

et al.

Abstract: обмен опытом т р а в м а т о л о г и я и о р т о п е д и я р о с с и и 2014-4 (74)

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Cited by 2 publications

References 15 publications

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Repair of Bone Defect of the Talus with Calcaneus Autograft and Autologous Matrix-Induced Chondrogenesis: A Case Report

Korobushkin,

Akhmedov,

Chebotarev

et al. 2023

Traumatology and Orthopedics of Russia

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Background. The question of choosing a treatment strategy for full-thickness osteochondral defects of the tarsal bone remains relevant. When choosing a treatment strategy, two key points should be considered: restoring the architecture of the tarsal bone and achieving long-term restoration of cartilage-like coverage in the area of the osteochondral defect. Case report. A 34-year-old physically active patient sustained an ankle injury in 2011 and was treated conservatively. In 2020, he complained of pain and reduced activity. Initial assessment scores were: VAS (Visual Analog Scale) — 6 points, AOFAS-AHS (American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Score) — 49 points, FAAM (Foot and Ankle Ability Measure) — 55 points. An MRI revealed an osteochondral defect in the medial part of the tarsal bone dome, measuring 16.4×9.4 mm and with a depth of 20.8 mm. The patient underwent the replacement of the bone defect with an autograft taken from the heel bone, using autologus matrix induced chondrogenesis (AMIC) procedure. After 6 months, a follow-up examination was performed, including ankle arthroscopy and removal of metal fixators. Arthroscopic findings showed that the chondroplasty area was almost identical to intact joint cartilage. One year after chondroplasty, the patient returned to his previous level of physical activity. Assessment scores were: VAS — 1 point, AOFAS-AHS — 94 points, FAAM — 83 points. Conclusion. The proposed method allows for the restoration of the architecture of the tarsal bone along with the cartilage surface. The use of a bone autograft helps to fill the tarsal bone defect, and covering the autograft with a collagen membrane contributes to the formation of hyaline-like cartilage tissue in the defect area.

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Repair of Bone Defect of the Talus with Calcaneus Autograft and Autologous Matrix-Induced Chondrogenesis: A Case Report

Korobushkin,

Akhmedov,

Chebotarev

et al. 2023

Traumatology and Orthopedics of Russia

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Surgical Treatment of Osteochondral Lesions of the Talar Dome: Review

Sorokin¹,

Fomichev²,

Konovalchuk³

et al. 2021

Traumatology and Orthopedics of Russia

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Background. The relevance of the talar dome osteochondral lesions problem is assosiated with the difficulties of diagnosis, the lack of unified treatment algorythm and the great number of unsatisfactory clinical and functional results. In the last decade, there has been increasing interest in this topic in the literature, which is demonstrated by a great number of publications with series of observations or clinical cases. However, attempts to create the universal algorithm for this group of patients treatment are limited by the low level of existing studies evidence, high frequency of the new data publications, as well as the impossibility of using a number of surgical methods in different countries for legislative or other reasons. The aim is to determine the current state of the problem of the talar dome osteochondral lesions surgical treatment and to identify types of surgical interventions in patients with the studied pathology. Material and methods. 120 international articles published from 2000 to 2021, as well as 18 domestic publications for the period from 2007 to 2021 were selected for the literature analysis. The search for publications was carried out in the PubMed/MedLine and eLibrary databases. Results. The most widespread are surgical interventions aimed at stimulation of the bone marrow, and plastic surgery using osteochondral auto - and allografts. Currently, there is no consensus on the indications for different types of surgical methods, and the previously used indications are being questioned. This determines the need to improve diagnostic and treatment concepts. Conclusion. The studied literature cannot fully answer a number of questions related to the methods of surgical treatment of patients with symptomatic osteochondral lesions of the talar dome and indications for them. A more detailed assessment of the medium- and long-term clinical outcomes of various surgical methods and the development of algorithms for this group of patients treatment, specific for different countries, are needed.

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Treatment of local talus osteochondral defects using mosaic autogenous osteochondral plasty

Abstract: обмен опытом т р а в м а т о л о г и я и о р т о п е д и я р о с с и и 2014-4 (74)

Cited by 2 publications

References 15 publications

Repair of Bone Defect of the Talus with Calcaneus Autograft and Autologous Matrix-Induced Chondrogenesis: A Case Report

Repair of Bone Defect of the Talus with Calcaneus Autograft and Autologous Matrix-Induced Chondrogenesis: A Case Report

Surgical Treatment of Osteochondral Lesions of the Talar Dome: Review

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