Mosaicplasty for the Treatment of Osteochondritis Dissecans of the Talus: Two to Seven Year Results in 36 Patients

医学 剥脱性骨软骨炎 脚踝 外科 关节镜检查 移植 骨关节炎 负重 病变 射线照相术 滑膜炎 关节炎 替代医学 病理 免疫学
作者
László Hangody,Gary Kish,László Módis,Imre Szerb,L Gáspár,Zoltán Diószegi,Zsolt Kendik
出处
期刊:Foot & Ankle International [SAGE Publishing]
卷期号:22 (7): 552-558 被引量:350
标识
DOI:10.1177/107110070102200704
摘要

An osteochondral defect (OCD) is known as a symptomatic lesion causing pain, recurrent synovitis, and altered joint mechanics most commonly in a weightbearing joint. Loose bodies may develop, which may then cause joint destruction and/or locking. The damage to the articular surface is most likely a precursor of ankle osteoarthritis. With the recent advances in diagnostic imaging, such as MRI, as well as the development of ankle arthroscopy, the identification and classification of these lesions has become much more precise. This allows more accurate staging and improves treatment recommendations. The assessment of a particular treatment is also improved. A variety of treatment alternatives are now available. These include arthroscopic procedures including debridement, retrograde drilling, and bone grafting. Compared to open treatment, arthroscopic procedures may be particularly advantageous in the treatment of small defects and stable OCD lesions. Until recently, however, favorable results have been less predictable for large or unstable osteochondral defects. We treat these more difficult lesions with a mosaic autogenous osteochondral transplantation. In our hands, this appears to provide an optimal treatment result. The present report evaluates the clinical outcome of 36 patients followed for two to seven years after a mosaicplasty autogenous osteochondral transplantation from a non or less weight bearing portion of the knee to the ipsilateral talus. Ankle function was measured by the Hannover scoring system and showed good to excellent results in 34 cases (94%) with no long term donor site morbidity. The encouraging clinical results are supplemented with radiographs and histology, which support the premise of lasting relief of symptoms and prevention of ankle arthrosis.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
南歌子完成签到 ,获得积分10
2秒前
香菜张完成签到,获得积分10
4秒前
凡华完成签到 ,获得积分10
5秒前
英勇的奇异果完成签到 ,获得积分10
6秒前
alixy完成签到,获得积分10
7秒前
9秒前
Ai完成签到,获得积分10
11秒前
风趣之云完成签到 ,获得积分10
12秒前
12秒前
666666神花露水完成签到 ,获得积分10
13秒前
映霜发布了新的文献求助10
17秒前
陈成完成签到,获得积分10
18秒前
23秒前
25秒前
杨港完成签到 ,获得积分10
26秒前
爱喝可乐完成签到 ,获得积分10
29秒前
Kao应助白白采纳,获得10
29秒前
汉堡包应助白白采纳,获得10
29秒前
新手完成签到 ,获得积分10
30秒前
30秒前
AUPTCHEM发布了新的文献求助10
30秒前
怕黑含之发布了新的文献求助10
30秒前
32秒前
35秒前
zhuxd完成签到 ,获得积分10
38秒前
lu发布了新的文献求助10
38秒前
jiaojaioo完成签到,获得积分10
38秒前
38秒前
noahxinny完成签到,获得积分10
46秒前
47秒前
小玲子完成签到 ,获得积分10
49秒前
小白完成签到,获得积分10
50秒前
lizishu应助圆脸的空间啊采纳,获得10
52秒前
自然小猫咪完成签到 ,获得积分10
54秒前
56秒前
小马甲应助lu采纳,获得10
56秒前
i2stay完成签到,获得积分0
1分钟前
俊秀的念烟完成签到,获得积分10
1分钟前
Thunnus001完成签到 ,获得积分10
1分钟前
1分钟前
高分求助中
Principles of Economics, 11th Edition 10000
University Physics with Modern Physics, 16th edition 10000
(应助此贴封号)【重要!!请各用户(尤其是新用户)详细阅读】【科研通的精品贴汇总】 10000
Development of a Bridge Weigh-In-Motion System: A technology to convert the bridge response to the passage of traffic into data on vehicle configurations, speeds, times of travel and weights 1000
Molecular Mechanisms of Photosynthesis, 4th Edition 1000
Organic Reactions, Volume 116 1000
Current concepts in cutaneous toxicity : proceedings of the Fourth Conference on Cutaneous Toxicity, Washington, D.C., May 9-11, 1979 1000
热门求助领域 (近24小时)
化学 材料科学 医学 生物 纳米技术 工程类 有机化学 化学工程 生物化学 计算机科学 内科学 物理 复合材料 催化作用 细胞生物学 无机化学 光电子学 物理化学 电极 基因
热门帖子
关注 科研通微信公众号,转发送积分 7264346
求助须知:如何正确求助?哪些是违规求助? 8885317
关于积分的说明 18777618
捐赠科研通 6942255
什么是DOI,文献DOI怎么找? 3202657
关于科研通互助平台的介绍 2375830
邀请新用户注册赠送积分活动 2178564