Osteochondral transplantation of autologous graft for the treatment of osteochondral lesions of talus: 5- to 7-year follow-up

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• 作者：Dimitrios Georgiannos ; Ilias Bisbinas…
• 关键词：Osteochondral lesion of talus (OLT) ; Osteochondral talar defect (OCD) ; Osteochondral transplantation ; Autologous cartilaginous graft ; Surgical treatment
• 刊名：Knee Surgery, Sports Traumatology, Arthroscopy
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：24
• 期：12
• 页码：3722-3729
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Orthopedics;
• 出版者：Springer Berlin Heidelberg
• ISSN：1433-7347
• 卷排序：24

文摘

PurposeBone marrow stimulation procedures (microfractures/drilling) are considered the gold standard for the primary treatment of osteochondral talar lesions. In the literature, there is lack of evidence about the appropriate treatment in cases of failure of these procedures. A technique of osteochondral autologous transplantation of talar graft was used. It was hypothesized that this is a successful method with good results and low complication rates. Additionally, a technique of anterior ankle approach with temporary removal of a bone block from the distal tibia that gives adequate access to posterior talar dome lesions is demonstrated.