Treatment of Osteochondral Lesions of the Talus by Means of Thearthroscopy-Assisted Microperforation Technique

Lima, Everton de; Queiroz, Felipe de; Júnior, Osmar Valadão Lopes; Spinelli, Leandro de Freitas

doi:10.1016/s2255-4971(15)30328-1

Cited by 4 publications

(5 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

See 1 more Smart Citation

Location Distribution of 2,087 Osteochondral Lesions of the Talus

et al. 2020

View full text Add to dashboard Cite

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.

show abstract

“…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%

“…Eight comparative studies and 43 non-comparative studies were scored. Comparative studies had an average score of 19.6 points (range, [16][17][18][19][20][21][22] with a maximum score of 24 points. The 43 noncomparative studies scored an average score of 12.6 points (range 9-14) with a maximum of 16 points.…”

Section: Methodological Qualitymentioning

confidence: 99%

Location Distribution of 2,087 Osteochondral Lesions of the Talus

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Scoring the methodological quality of the 134 non-comparative studies resulted in an average score of 10.1 (range: 5-13) out of 16 points. 11,14,15,17,27 -29,36 …”

Section: Resultsmentioning

confidence: 99%

“… a Significantly different from osteo(chondral) autograft transplantation therapies ( Q = 7.55, P = 0.0060) and metal implants ( Q = 5.27, P = 0.0217). 43,52,59,61 -63,66,81,92,93,109,113,117,121,123,125,131,135,141,143,146,149,150,153,158,164,165,167,168,171,173,176,177,179 -183,187,190,192,195 -200,202,204 -206 b Significantly different from metal implants ( Q = 3.86, P = 0.0493). 11,42,53,56,59,116,118,137,170,…”

Section: Resultsmentioning

confidence: 99%

The Frequency and Severity of Complications in Surgical Treatment of Osteochondral Lesions of the Talus: A Systematic Review and Meta-Analysis of 6,962 Lesions

et al. 2023

View full text Add to dashboard Cite

Objective The primary aim was to determine and compare the complication rate of different surgical treatment options for osteochondral lesions of the talus (OLTs). The secondary aim was to analyze and compare the severity and types of complications. Design A literature search was performed in MEDLINE (PubMed), EMBASE (Ovid), and the Cochrane Library. Methodological quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS). Primary outcome was the complication rate per surgical treatment option. Secondary outcomes included the severity (using the Modified Clavien-Dindo-Sink Complication Classification System for Orthopedic Surgery) and types of complications. The primary outcome, the severity, and the sub-analyses were analyzed using a random effects model. A moderator test for subgroup-analysis was used to determine differences. The types of complications were presented as rates. Results In all, 178 articles from the literature search were included for analysis, comprising 6,962 OLTs with a pooled mean age of 35.5 years and follow-up of 46.3 months. Methodological quality was fair. The overall complication rate was 5% (4%-6%; treatment group effect, P = 0.0015). Analysis resulted in rates from 3% (2%-4%) for matrix-assisted bone marrow stimulation to 15% (5%-35%) for metal implants. Nerve injury was the most observed complication. Conclusions In 1 out of 20 patients treated surgically for an OLT, a complication occurs. Metal implants have a significantly higher complication rate compared with other treatment modalities. No life-threatening complications were reported.

show abstract

“…The most often reported operative technique was BMS alone with 11 papers including 576 patients ( 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ). More than half of the patients (996/total 1695 patients) received BMS alone, BMS with an additional therapy ( 18 , 19 , 23 , 24 , 25 , 26 , 27 ) or AMIC ( 28 , 29 , 30 , 31 , 32 ) .…”

Section: Resultsmentioning

confidence: 99%

Evidence for operative treatment of talar osteochondral lesions: a systematic review

et al. 2022

View full text Add to dashboard Cite

Purpose Operative treatment of talar osteochondral lesions is challenging with various treatment options. The aims were (i) to compare patient populations between the different treatment options in terms of demographic data and lesion size and (ii) to correlate the outcome with demographic parameters and preoperative scores. Methods A systemic review was conducted according to the PRISMA guidelines. The electronic databases Pubmed (MEDLINE) and Embase were screened for reports with the following inclusion criteria: minimum 2-year follow-up after operative treatment of a talar osteochondral lesion in at least ten adult patients and published between 2000 and 2020. Results Forty-five papers were included. Small lesions were treated using BMS, while large lesions with ACI. There was no difference in age between the treatment groups. There was a correlation between preoperative American Orthopaedic Foot and Ankle Society (AOFAS) score and change in AOFAS score (R = −0.849, P < 0.001) as well as AOFAS score at follow-up (R = 0.421, P = 0.008). Preoperative size of the cartilage lesion correlates with preoperative AOFAS scores (R= −0.634, P = 0.001) and with change in AOFAS score (R = 0.656, P < 0.001) but not with AOFAS score at follow-up. Due to the heterogeneity of the studies, a comparison of the outcome between the different operative techniques was not possible. Conclusion Patient groups with bigger lesions and inferior preoperative scores did improve the most after surgery. Level of evidence IV.

show abstract

Treatment of Osteochondral Lesions of the Talus by Means of Thearthroscopy-Assisted Microperforation Technique

Cited by 4 publications

References 33 publications

Location Distribution of 2,087 Osteochondral Lesions of the Talus

Location Distribution of 2,087 Osteochondral Lesions of the Talus

The Frequency and Severity of Complications in Surgical Treatment of Osteochondral Lesions of the Talus: A Systematic Review and Meta-Analysis of 6,962 Lesions

Evidence for operative treatment of talar osteochondral lesions: a systematic review

Contact Info

Product

Resources

About