当前位置： SCI文献检索 > ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY期刊下所有文献 > The anterior approach for the treatment of posterior osteochondral lesions of the talus: comparison of different surgical techniques.

The anterior approach for the treatment of posterior osteochondral lesions of the talus: comparison of different surgical techniques.

Abstract：

INTRODUCTION:Most of all osteochondral talar lesions are located in the middle and posterior area of the talar surface. Malleolar osteotomy is often used to access the defect but may be associated with malunion or secondary osteoarthritis. We present an alternative approach to the talus with temporary removal and replacement of a tibial bone block and compare it with other anterior approaches described in the literature. PATIENTS AND METHODS:Thirteen patients (5 males, 8 females) with an average age of 27.2 years and an osteochondral talar lesion were included in our study. All patients were previously operated on the same ankle. Ten lesions were caused by a sports injury. The average follow up was 45 months. The patients were evaluated before and after surgery using the ankle and hindfood score (AOFAS). For the analyses baseline clinical data were compared with follow up data using the Wilcoxon test. RESULTS:The overall improvement between the preoperative and postoperative AOFAS scores was an average of 34.9 points (P=0.0002). No complications occurred at the site of the tibial bone block and the donor site at the talus. There were no patients with recurrence or an ankle osteoarthrosis in the follow up period. CONCLUSION:The removal of a tibial bone block and its subsequent replacement is a useful technique to access osteochondral talar lesions for osteochondral transplantation for which arthroscopic interventions have failed. The results are comparable to other anterior approaches described in the literature.

journal_name

Arch Orthop Trauma Surg

journal_title

Archives of orthopaedic and trauma surgery

authors

Kreuz PC,Steinwachs M,Edlich M,Kaiser T,Mika J,Lahm A,Südkamp N

doi

10.1007/s00402-005-0058-5

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

241-6

issue

4

eissn

0936-8051

issn

1434-3916

journal_volume

126

pub_type

杂志文章

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