2016, Number 1
<< Back Next >>
Ortho-tips 2016; 12 (1)
Ankle osteochondritis. Do microfractures remain the gold standard?
Gómez CLA, Gutiérrez PCA
Language: Spanish
References: 14
Page: 23-30
PDF size: 459.39 Kb.
ABSTRACT
Osteochondral ankle injuries (OCAI) appear more frequently in the population of athletes, both professional and amateur. Their characteristics have also changed, making them far more complex in their treatment. Currently, there are several options available; however, there is still no absolute consensus on the most reliable option for their resolution. We present a brief review of the current literature and the tools available for the orthopedic surgeon to integrate these patients back to their regular sports activities.
REFERENCES
Van Dijk CN, Reilingh ML, Zengerink M, van Bergen CJ. Osteochondral defects in the ankle: why painful? Knee Surg Sports Traumatol Arthrosc. 2010; 18 (5): 570-580.
Saxena A, Eakin C. Articular talar injuries in athletes: results of microfracture and autogenous bone graft. Am J Sports Med. 2007; 35 (10): 1680-1687.
Canale ST, Belding RH. Osteochondral lesions of the talus. J Bone Joint Surg Am. 1980; 62 (1): 97-102.
Van Dijk CN, Reilingh ML, Zengerink M, van Bergen CJ. The natural history of osteochondral lesions in the ankle. Instr Course Lect. 2010; 59: 375-386.
Talusan PG, Milewski MD, Toy JO, Wall EJ. Osteochondritis dissecans of the talus: diagnosis and treatment in athletes. Clin Sports Med. 2014; 33 (2): 267-284.
Giannini S, Vannini F. Operative treatment of osteochondral lesions of the talar dome: current concepts review. Foot Ankle Int. 2004; 25 (3): 168-175.
Guettler JH, Demetropoulos CK, Yang KH, Jurist KA. Osteochondral defects in the human knee: influence of defect size on cartilage rim stress and load redistribution to surrounding cartilage. Am J Sports Med. 2004; 32 (6): 1451-1458.
Mei-Dan O, Carmont MR, Laver L, Mann G, Maffulli N, Nyska M. Platelet-rich plasma or hyaluronate in the management of osteochondral lesions of the talus. Am J Sports Med. 2012; 40 (3): 534-541.
Görmeli G, Karakaplan M, Görmeli CA, Sarıkaya B, Elmali N, Ersoy Y. Clinical effects of platelet-rich plasma and hyaluronic acid as an additional therapy for talar osteochondral lesions treated with microfracture surgery: a prospective randomized clinical trial. Foot Ankle Int. 2015; 36 (8): 891-900.
Giannini S, Buda R, Faldini C, Vannini F, Bevoni R, Grandi G, et al. Surgical treatment of osteochondral lesions of the talus in young active patients. J Bone Joint Surg Am. 2005; 87 (Suppl 2): 28-41.
Ventura A, Terzaghi C, Legnani C, Borgo E. Treatment of post-traumatic osteochondral lesions of the talus: a four-step approach. Knee Surg Sports Traumatol Arthrosc. 2013; 21 (6): 1245-1250.
Yoshimura I, Kanazawa K, Takeyama A, Angthong C, Ida T, Hagio T, et al. Arthroscopic bone marrow stimulation techniques for osteochondral lesions of the talus: prognostic factors for small lesions. Am J Sports Med. 2013; 41 (3): 528-534.
Liu W, Liu F, Zhao W, Kim JM, Wang Z, Vrahas MS. Osteochondral autograft transplantation for acute osteochondral fractures associated with an ankle fracture. Foot Ankle Int. 2011; 32 (4): 437-442.
Niemeyer P, Salzmann G, Schmal H, Mayr H, Südkamp NP. Autologous chondrocyte implantation for the treatment of chondral and osteochondral defects of the talus: a meta-analysis of available evidence. Knee Surg Sports Traumatol Arthrosc. 2012; 20 (9): 1696-1703.