Autologous osteochondral grafting for talar cartilage defects.


:The purpose of this study was to evaluate the clinical results of Osteochondral Autograft Transfer System (OATS) for the treatment of symptomatic osteochondral defects of the talus using standardized outcome analysis. Nineteen patients with symptomatic osteochondral defect (OCD) of the talus were treated with autologous osteochondral grafting. There were six men and 13 women. The average age was 32 years (range, 18 to 48 years). The average duration of symptoms prior to surgery was 4.2 years (range, three months to 12 years). All patients had failed nonoperative treatment, and 13 (68%) patients had failed prior excision, curettage and/or drilling of the lesion. The average size of the lesion prior to autografting was 12 mm x 10 mm (range, 10 x 5 mm to 20 x 20 mm). Donor plugs were harvested from the trochlear border of the ipsilateral femoral condyle. Ankle exposure was obtained with a medial malleolar osteotomy in 13 patients, arthrotomy in five patients and lateral malleolar osteotomy in one patient. Clinical evaluations were performed for both the recipient ankle and donor knee using the AOFAS Ankle/Hindfoot Scale and Lysholm knee scale, respectively. The average follow-up time was 16 months (range, 12 to 30 months). The average postoperative AOFAS ankle score was 88 (range, 60 to 100). Most patients had occasional mild pain, but excellent function, range of motion, stability and alignment. The average postoperative ankle score for the 13 patients who failed prior surgery was 91 (range, 84 to 100). The average postoperative Lysholm knee score was 97 (range, 87 to 100). Only two patients had mild knee pain. Postoperative radiographs were available for 13 patients. There was no evidence of graft subsidence and all grafts healed. All malleolar osteotomies united. Seventeen (89%) patients said that they would undergo the procedure again. The results of osteochondral autograft transplant for OCD lesions of the talus demonstrate excellent postoperative ankle scores including improvement of pain and function with minimal knee donor site morbidity. Also, our results indicate that this is an effective salvage procedure following failed previous procedures and for patients with longstanding symptoms.


Foot Ankle Int


Al-Shaikh RA,Chou LB,Mann JA,Dreeben SM,Prieskorn D





Has Abstract


2002-05-01 00:00:00












  • Knot of Henry Variation and the Effect on Plantar Flexion Strength.

    abstract:BACKGROUND:The flexor hallucis longus (FHL) and flexor digitorum longus (FDL) tendons are commonly used for tendon transfer in reconstructive foot and ankle procedures. Some patients experience great toe weakness and loss of push-off strength. The objective of this biomechanical study was to quantify plantarflexion for...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Thomas D,Thordarson D,Nelson TJ,Charlton TP,Eberlein S,Metzger MF

    更新日期:2020-01-01 00:00:00

  • Independent evaluation of a recently described Achilles tendon repair technique.

    abstract:BACKGROUND:We investigated a previously reported technique for the repair of acute Achilles tendon ruptures using the percutaneous Achillon suture system (Intega Life Sciences Corporation, Plainsboro, NJ). METHODS:Twenty-five patients with Achilles tendon ruptures were studied prospectively with a minimum of 12 months...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Calder JD,Saxby TS

    更新日期:2006-02-01 00:00:00

  • Ankle fracture spur sign is pathognomonic for a variant ankle fracture.

    abstract:BACKGROUND:The hyperplantarflexion variant ankle fracture is composed of a posterior tibial lip fracture with posterolateral and posteromedial fracture fragments separated by a vertical fracture line. This infrequently reported injury pattern often includes an associated "spur sign" or double cortical density at the in...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Hinds RM,Garner MR,Lazaro LE,Warner SJ,Loftus ML,Birnbaum JF,Burket JC,Lorich DG

    更新日期:2015-02-01 00:00:00

  • Staged treatment of high energy midfoot fracture dislocations.

    abstract:BACKGROUND:Staged care with interval external fixation is a successful established treatment strategy for high energy periarticular fractures with often extensive soft tissue damage such as the tibial plateau and plafond. The aim of the current study was to determine whether staged care of high energy midfoot fracture/...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Kadow TR,Siska PA,Evans AR,Sands SS,Tarkin IS

    更新日期:2014-12-01 00:00:00

  • Prospective study of bone, indium-111-labeled white blood cell, and gallium-67 scanning for the evaluation of osteomyelitis in the diabetic foot.

    abstract::Twenty-two adult diabetic patients with clinical suspicion of foot and/or ankle infection were prospectively evaluated using radiography, technetium-99m methylene diphosphonate bone scanning (99mTc), indium-111-labeled leukocyte scanning (111In), and gallium-67 scanning (67Ga) to determine the presence of clinically s...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Johnson JE,Kennedy EJ,Shereff MJ,Patel NC,Collier BD

    更新日期:1996-01-01 00:00:00

  • Topical review: locking plate technology in foot and ankle surgery.

    abstract::The use of locking plate technology in foot and ankle surgery has increased over the last decade. Reported applications include fracture repair, deformity correction, and arthrodesis. There is limited evidence, however, to guide clinicians with regard to the appropriate and optimal use of this technology. This work ai...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审


    authors: Jastifer JR

    更新日期:2014-05-01 00:00:00

  • Functional evaluation of the Scandinavian Total Ankle Replacement.

    abstract::The purpose of this study was to evaluate the function of the ankle joint during walking before and after Scandinavian Total Ankle Replacement (STAR). Nine patients (six males and three females) with an average age of 65 years, scheduled for unilateral total ankle replacement for osteoarthritis and rheumatoid arthriti...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章


    authors: Dyrby C,Chou LB,Andriacchi TP,Mann RA

    更新日期:2004-06-01 00:00:00

  • Periprosthetic osteolysis after total ankle arthroplasty.

    abstract:BACKGROUND:Periprosthetic osteolysis in total ankle arthroplasty (TAA) is a substantial problem. We report the incidence and characteristics of periprosthetic osteolysis and its association with clinical outcomes after TAA using the HINTEGRA ankle system. METHODS:Between May 2004 and April 2010, 126 primary TAA were p...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Yoon HS,Lee J,Choi WJ,Lee JW

    更新日期:2014-01-01 00:00:00

  • Nonoperative treatment of fifth metatarsal fractures in an orthopaedic suburban private multispeciality practice.

    abstract:BACKGROUND:The purpose of this study was to review consecutive fifth metatarsal fractures in the author's (KFK) practice from August, 1999, to November, 2003. METHODS:During this period 64 patients (66 fractures; 35 tuberosity fractures, 10 Jones fractures, three stress fractures, two segmental shaft fractures and 16 ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Konkel KF,Menger AG,Retzlaff SA

    更新日期:2005-09-01 00:00:00

  • Rearfoot-forefoot orientation and traumatic risk for runners.

    abstract::Factors making runners more susceptible to injuries were identified with a comparative study between a healthy control group (216) and runners (66) suffering from overuse pathology. On static and dynamic footprint, the angles alpha0 (static) and alpha1 (dynamic) between heel and forefoot have been measured. Analysis s...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Busseuil C,Freychat P,Guedj EB,Lacour JR

    更新日期:1998-01-01 00:00:00

  • Ankle Arthroscopy Simulation Improves Basic Skills, Anatomic Recognition, and Proficiency During Diagnostic Examination of Residents in Training.

    abstract:BACKGROUND:The purpose of this study was to determine whether low-fidelity arthroscopic simulation training improves basic ankle arthroscopy performance and efficiency among orthopedic trainees. METHODS:Twenty-nine orthopedic surgery trainees with varying levels of experience in ankle arthroscopy were randomized into ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,随机对照试验


    authors: Martin KD,Patterson D,Phisitkul P,Cameron KL,Femino J,Amendola A

    更新日期:2015-07-01 00:00:00

  • Return to Sports and Activity After Total Ankle Arthroplasty and Arthrodesis: A Systematic Review.

    abstract:BACKGROUND:There is no consensus regarding participation in sports and recreational activities following total ankle replacement (TAR) and ankle arthrodesis (AA). This systematic review summarizes the evidence on return to sports and activity after operative management with either TAR or AA for ankle osteoarthritis (OA...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Johns WL,Sowers CB,Walley KC,Ross D,Thordarson DB,Jackson JB,Gonzalez TA

    更新日期:2020-08-01 00:00:00

  • Percutaneous vs. open repair of the ruptured Achilles tendon--a prospective randomized controlled study.

    abstract::A prospective randomized controlled trial comparing open and percutaneous repair of closed ruptured Achilles tendons was performed over a period of 30 months. Sixty-six patients from seven district general hospitals were entered into the study with 33 patients randomized into each group. A modification of the techniqu...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Lim J,Dalal R,Waseem M

    更新日期:2001-07-01 00:00:00

  • SPECT/CT in the management of osteochondral lesions of the talus.

    abstract:BACKGROUND:The treatment of osteochondral lesion of the talus (OLT) is mainly based upon the stage of the disease so accurate imaging is crucial. SPECT/CT combines bone scan with high-resolution CT and can provide functional-anatomical images in a single stage. The purpose of this study was to assess the value of SPECT...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Meftah M,Katchis SD,Scharf SC,Mintz DN,Klein DA,Weiner LS

    更新日期:2011-03-01 00:00:00

  • Optimal Starting Point for Fifth Metatarsal Zone II Fractures: A Cadaveric Study.

    abstract:BACKGROUND:Identifying the optimal starting point for intramedullary fixation of tibia and femur fractures is well described in the literature using a retrograde or anterograde technique. This technique has not been applied to the fifth metatarsal, where screw trajectory can cause iatrogenic malreduction. The generally...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Watson GI,Karnovsky SC,Konin G,Drakos MC

    更新日期:2017-07-01 00:00:00

  • Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid.

    abstract:BACKGROUND:The aim of this study was to evaluate the incidence and morphologic characteristics of osteochondral lesions of the distal tibial plafond (OLTP) by location and morphologic characteristics on MRI. MATERIAL AND METHODS:We assigned 9 zones to the distal tibial plafond articular surface in an equal 3 x 3 grid ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Elias I,Raikin SM,Schweitzer ME,Besser MP,Morrison WB,Zoga AC

    更新日期:2009-06-01 00:00:00

  • Interdigital neuroma: intermuscular neuroma transposition compared with resection.

    abstract::This prospective, randomized study compares the treatment of an interdigital neuroma (IDN) by the standard resection operation with a technique in which the IDN is transposed into the inter-muscular space between the adductor hallucis and the interossei muscles after division of the digital nerves distal to the IDN. T...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Colgrove RC,Huang EY,Barth AH,Greene MA

    更新日期:2000-03-01 00:00:00

  • Fifth Metatarsal Jones Fractures in the Athlete.

    abstract::Fifth metatarsal fractures, otherwise known as "Jones" fractures, occur commonly in athletes and nonathletes alike. While recent occurrence in the popular elite athlete has increased public knowledge and interest in the fracture, this injury is common at all levels of sport. This review will focus on all three types o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Porter DA

    更新日期:2018-02-01 00:00:00

  • Liposomal bupivacaine in forefoot surgery.

    abstract:BACKGROUND:Liposomal bupivacaine is increasingly being utilized in attempts to provide prolonged local analgesia in the immediate postoperative period. The purpose of this study was to quantify the reduction in opioid consumption as well as postoperative pain scores in the postoperative period when liposomal bupivacain...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Robbins J,Green CL,Parekh SG

    更新日期:2015-05-01 00:00:00

  • Preliminary results on the safety and efficacy of the OssaTron for treatment of plantar fasciitis.

    abstract::The OssaTron may be another alternative for management of plantar fasciitis (heel pain syndrome) after failure of non-operative management and prior to surgical management. This study evaluated primarily the safety and early preliminary efficacy of the OssaTron in treatment of patients with plantar fasciitis unrespons...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Alvarez R

    更新日期:2002-03-01 00:00:00

  • Functional outcome after modified Blair tibiotalar arthrodesis for talar osteonecrosis.

    abstract:BACKGROUND:Osteonecrosis of the talar body is a challenging problem for both patient and surgeon. One reconstruction option is an arthrodesis of the tibia to the talar neck, as described by Blair, which has the theoretical advantages of salvaging some hindfoot height and motion of the subtalar joint. A few case series ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Van Bergeyk A,Stotler W,Beals T,Manoli A 2nd

    更新日期:2003-10-01 00:00:00

  • A biochemical analysis of the squeeze test for sprains of the syndesmotic ligaments of the ankle.

    abstract::The "squeeze test" is a clinical test for detecting "stable" syndesmosis injuries. The test is positive when proximal compression of the calf produces pain in the area of the distal tibiofibular and interosseous ligaments. The purpose of this study was to examine what fibular movement, if any, occurs at the level of t...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Teitz CC,Harrington RM

    更新日期:1998-07-01 00:00:00

  • Distal linear osteotomy compared to oblique diaphyseal osteotomy in moderate to severe hallux valgus.

    abstract:BACKGROUND:There are no comparative studies of proximal and distal osteotomy for treatment of moderate to severe hallux valgus. Our purpose was to compare the surgical outcomes of modified proximal Ludloff (oblique diaphyseal) osteotomy with modified distal Bösch (distal linear) osteotomy by a single surgeon in moderat...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Chiang CC,Lin CF,Tzeng YH,Huang CK,Chen WM,Liu CL

    更新日期:2012-06-01 00:00:00

  • Achilles tendon tenodesis to prevent heel pad migration in the Syme's amputation.

    abstract::In an attempt to prevent migration of the heel pad, 11 patients underwent a combined Syme's amputation and Achilles tendon tenodesis between December 1989 and April 1992. Ten patients healed the Syme's amputation, and one patient failed to heal the surgical wounds and required a below-knee amputation. In all 10 succes...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章


    authors: Smith DG,Sangeorzan BJ,Hansen ST Jr,Burgess EM

    更新日期:1994-01-01 00:00:00

  • Single-incision medial approach for double arthrodesis of hindfoot in posterior tibialis tendon dysfunction.

    abstract:BACKGROUND:Triple arthrodesis through a 2-incision approach has been the primary salvage procedure for rigid hindfoot malalignment resulting from posterior tibialis dysfunction. However, complications like calcaneocuboid joint nonunion, lateral wound dehiscence, and adjacent joint arthritis have been reported after tri...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Anand P,Nunley JA,DeOrio JK

    更新日期:2013-03-01 00:00:00

  • The influence of second toe and metatarsal length on stress fractures at the base of the second metatarsal in classical dancers.

    abstract:BACKGROUND:Stress fractures at the base of the second metatarsal frequently occur in female classical dancers. There is a strong belief that a foot shape in which the first metatarsal or toe is shorter than the second metatarsal or toe increases the risk of this injury in dancers. However, there is a lack of empirical ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Davidson G,Pizzari T,Mayes S

    更新日期:2007-10-01 00:00:00

  • Dorsal neuroma of the feet: a case report.

    abstract::A patient presented with bilateral neuromas of medial dorsal nerves of the great toes. She had a 3-year history of localized tenderness and an "electric" type of pain. At surgery, neuromas of the dorsal medial digital nerves were identified and removed. The patient's symptoms resolved completely. ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Samimi S,Enyati A

    更新日期:1996-07-01 00:00:00

  • Arthroscopic-Assisted Versus All-Arthroscopic Ankle Stabilization Technique.

    abstract:BACKGROUND:Both the percutaneous technique with arthroscopic assistance, also known as arthroscopic Broström (AB), and the arthroscopic all-inside ligament repair (AI) are widely used to treat chronic lateral ankle instability. The aim of this study was to compare the clinical outcomes of these 2 arthroscopic stabilizi...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Guelfi M,Nunes GA,Malagelada F,Cordier G,Dalmau-Pastor M,Vega J

    更新日期:2020-11-01 00:00:00

  • Endomedullary screw fixation for first metatarsophalangeal arthrodesis.

    abstract:BACKGROUND:The purpose of this study was to evaluate the clinical and radiological results in a group of patients who underwent first metatarsophalangeal joint arthrodesis with an endomedullary screw fixation technique (MPA-E). METHODS:Between 2003 and 2009, 101 metatarsophalangeal arthrodesis were performed in 76 pat...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Migues A,Calvi J,Sotelano P,Carrasco M,Slullitel G,Conti L

    更新日期:2013-08-01 00:00:00

  • Effectiveness of ultrasound-guided corticosteroid injection in the treatment of Morton's neuroma.

    abstract:BACKGROUND:The purpose of this study was to evaluate the efficacy of corticosteroid injection and determine the duration of symptom-free period after treatment with a single ultrasound-guided injection for a painful Morton's neuroma. MATERIALS AND METHODS:From May 2002 to November 2003, 35 consecutive patients (7 male...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章


    authors: Markovic M,Crichton K,Read JW,Lam P,Slater HK

    更新日期:2008-05-01 00:00:00