Comparing Treatment Options for Large Talar Osteochondral Lesions:

Foot & Ankle Orthopaedics

KennethChin¹ 

关键词: osteochondritis dessicans talus talar OCD biocartilage denovo OATS osteochondral autograft transplant ankle arthroscopy;   

DOI  :  10.1177/2473011417S000135

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle, Arthroscopy, SportsIntroduction/Purpose:The surgical treatment of large or revision osteochondral (OCD) lesions of the talus remain challenging. Currently, there are several treatment options for these patients, including: osteochondral autograft (OATS), allograft cartilage extracellular matrix (Arthrex BioCartilage), and particulated juvenile articular cartilage allograft (Zimmer DeNovo). Due to the relative rarity of these procedures, the literature comparing these three modalities is scarce. The aim of this study was to assess midterm clinical outcomes after these surgical treatments for large or revision talar OCD lesions.Methods:Hospital IRB approval was obtained. We reviewed surgical case logs and identified 78 total patients between 2003- 2015 for inclusion in this retrospective study. Thirty-three patients were excluded due to incomplete preoperative or postoperative outcome scoring data, and 23 patients are pending followup, leaving a cohort of N = 22 patients (5 OATS, 5 DeNovo, 1...

【 授权许可】

CC BY