Management of Hepple Stage V Osteochondral Lesion of the Talus with a Platelet-Rich Plasma Scaffold:

Foot & Ankle Orthopaedics

ZhongminShi¹ 

关键词: talus;    OCD;    OCL;    PRP;   

DOI  :  10.1177/2473011418S00438

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:AnkleIntroduction/Purpose:There has been no consensus on the treatment or prognosis of Hepple stage V osteochondral lesions of the talus (OLTs), especially for lesions greater than 1.5 cm2 in size. The objective of this study was to investigate the clinical outcomes achieved upon application of a platelet-rich plasma (PRP) scaffold with a cancellous bone autograft for Hepple stage V OLTs.Methods:Fourteen patients (mean age, 39 years) were treated with a cancellous bone graft and a PRP scaffold between 2013 and 2015. The mean time to surgical treatment was 23.5 months. Ankle X-ray and magnetic resonance imaging were performed at the final follow-up. Functional outcomes were evaluated according to the Visual Analog Scale (VAS) score, American Orthopaedic Foot and Ankle Society (AOFAS) score, and Short Form36 (SF-36) score.The range of motion (ROM) of the ankle joint and complications also were recorded.Results:Thirteen patients completed the full follow-up, with a mean follow-up duration of 18 mont...

【 授权许可】

CC BY