Osteochondritis dissecans of the talus. The late results of surgical treatment.
نویسندگان
چکیده
Thirty-five cases of osteochondritis dissecans of the talus, operated on between 1950 and 1978, were studied. Twenty-four were available for follow-up an average of 47 months later. Three standard surgical approaches were used, and the osteochondritic fragment removed. In some cases the base of the defect was drilled. Good results were obtained in 15 patients, and fair in nine. There were no poor results. It was concluded that the defect is caused by trauma; that early operation gives the best results, 12 months being the critical delay time; that drilling the base of the defect improves results; and that the sex of the patient and the location of lesion are of little significance.
منابع مشابه
Autogenous Osteochondral Grafting for Treatment of Knee Osteochondritis Dissecans: A Case Series Study
Background: Although some surgical techniques have been described for the operative treatment of unstableOsteochondritis dissecans (OCD) of the knee, outcomes are variable and are not satisfying totally. The aim of thepresent study is to evaluate the outcomes of autogenous osteochondral grafting for OCD of the knee.Methods: In a case series study, from June 2014 to July 2015, ...
متن کاملOsteochondritis dissecans of the talus.
Osteochondritis dissecans (OCD) is an acquired idiopathic lesion of subchondral bone that can produce delamination and sequestration with or without articular cartilage involvement and instability. The cause of OCD is still debated: the most recognized etiology is the occurrence of repetitive micro-traumas associated with vascular impairment, causing progressive ankle pain and dysfunction in sk...
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This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
متن کاملFresh osteochondral grafting in the treatment of osteochondritis dissecans of the talus.
We present a review of the literature on classification and treatment of osteochondral defects of the talus. We report the case of an isolated Berndt and Harty grade II lesion treated with a fresh osteochondral allograft. We believe that fresh allograft osteochondral grafting of the talus is an excellent technique for symptomatic Berndt and Harty grade II or higher lesion of the talus without s...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 64 4 شماره
صفحات -
تاریخ انتشار 1982