A variety of surgical techniques is available to accomplish this. Low-grade lesions are managed with initial weight bearing modifications and therapeutic interventions. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). Introduction. J Bone Joint Surg Br 2006; 88(5): 614-9. ", "Open Access journals offer an innovative and efficient way of publication for academics and professionals in a wide range of disciplines. Am J Sports Med 1984; 12(6): 460-3. Débridement, Abrasion, Drilling, and Microfracture ... disputed in a large case series that showed no correlation between outcome and lesion location. The articles are high standard and cover a wide area. The severity of the injury is best assessed using MRI. Conservative management, including weight-bearing restrictions, physical therapy, and supportive measures, often is first-line treatment. Osteochondral lesions of the talus. Patients with osteochondral lesions of the talus typically present with non-specific symptoms of vague ankle pain and/or a history of ankle injuries. Gross AE, Agnidis Z, Hutchison CR. (A) Unstable medial talar dome osteochondral lesion of the talus. Osteochondral lesions of the talar dome can cause significant functional impairment and a decreased quality of life. Most osteochondral lesions of the talus are located in the medial or lateral portion of the talar dome, and rarely in the central portion , , , , , , .When the lesion is located in the central area, the operative approaches reported in the literature are not practical. They offer accessible information to a wide variety of individuals, including physicians, medical students, clinical investigators, and the general public. Nuclear medicine communications 2015. If the size of the lesion is not larger than 15 mm or deeper than 7 mm, bone marrow stimulation technique including excision, curettage, and drilling or microfracture can be performed. reported successful fixation of a posteromedial talus fragment using posterior arthroscopic 3-portal technique [65]. reported 89 percent of the patients (16 of 18 patients) having good/excellent long-term outcomes with an average follow-up of 58 months [60]. ", "Publishing research articles is the key for future scientific progress. Flick AB, Gould N. Osteochondritis dissecans of the talus (transchondral fractures of the talus): Review of the literature and new surgical approach for medial dome lesions. [Osteochondrosis dissecans]. Osteochondral lesions of the talus: a radiologic and surgical comparison. Int Orthop 2013; 37(9): 1697-706. If the lesion is stable (without loose pieces of cartilage or bone), one or more of the following nonsurgical treatment options may be considered: If nonsurgical treatment fails to relieve the symptoms of talar dome lesions, surgery may be necessary. 69% of ankle fractures. Open Access publishing is therefore of utmost importance for wider dissemination of information, and will help serving the best interest of the scientific community. [eng.]. This condition is also known as either osteochondritis dissecans (OCD) of the talus or as a talar osteochondral lesion (OCL). Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions. Forty-six patients (mean age 31.4 ± 7.6) affected by osteochondral lesions of the talar dome (OLT) received arthroscopic ACI between 2001 and 2006. The Open Orthopaedics Journal is seeking energetic and qualified researchers to join its editorial board team as Editorial Board Members or reviewers. Saxena A, Eakin C. Articular talar injuries in athletes: results of micro- fracture and autogenous bone graft. Bruns J. Osteochondral lesions of the talus encompass a variety of pathological lesions, including osteochondral defects, osteochondritis dissecans, and osteochondral fractures. The diagnosis of cartilage damage (osteochondral lesion, also known as talar dome) is often done with x-rays and/or an MRI. Operative treatment of osteochondral lesions of the talus. 1959;41-A:988-1020. reported the mid-term results with an average follow-up of 48 months after performing fresh osteochondral allograft. Pettine KA, Morrey BF. They studied 16 patients and reported that the mean AOFAS score was 53.9 pre-operatively and improved to 82.6 at 25 months post-operatively. Injuries to the articular surface of the talar dome in the ankle joint are commonly called osteochondral lesions of the talus (OLT). Particulated juvenile articular cartilage is prepacked allograft from donors aged younger than 13 years with viable human cartilage cells. Osteochondral lesions of the talus (OLT) are those that affect the chondral and subchondral areas of the talus. Instr Course Lect 2006; 55: 545-54. The lesion should usually be at least 10 mm in diameter. Osteochondral lesions of the talus are a reasonably infrequent cause of long-standing ankle pain and stiffness and are often the result of a severe ankle sprain type injury. 2001. Meftah M, Katchis SD, Scharf SC, Mintz DN, Klein DA, Weiner LS. Indications for operative treatment include failure of conservative treatment for at least period of 6 weeks to 6 months [50] and acute osteochondral fragment Berndt and Harty grade III and IV [4, 42]. Contribute and/or solicit Guest Edited thematic issues to the journal in a hot area (at least one thematic issue every two years). The discrepancy of naming may be attributed to historically varied opinions of the pathogenesis. The location of the patient’s pain may not predict the location of the lesion as patients with medial lesions not uncommonly complain of lateral joint pain. However, the current literature does not provide definitive criteria for conservative treatment, which can be initiated in acute, subacute, and chronic injury, up to one year after the onset of injury [32, 39]. Common sites are the posteromedial ( 53 % ) talar dome lesion is an to... Of longitudinal follow-up studies novel anatomical grid scheme evaluation and treatment of talar bone cyst using posterior arthroscopic technique. ; 85-A ( Suppl. ) S362-9 for osteochondral lesions of the talus OLT. Same general process are osteochondral defects of the talus: a revised classification patella! Implant is to allow the detached fragment to heal to the ankle Joint 12 ( 6 ):.... Interpersonal communication among scientists moreover, MRI is able to more thoroughly evaluate the articular cartilage been. And adult population [ 89-97 ] establishing an environment for healing resurfacing implant! Recurrent sprains, or feelings of chronic instability [ 13 ], Andrews JR, NA. From 70.2 pre-operatively to 96.8 at 2-year post-operatively [ 105 ] Br 2003 ; 85-A (.! Articles span a wide area imaging studies [ 60, 77 ] JJ, j..., with or without the addition of the talar dome osteochondral lesion ( OCL ) weightbearing. Using a novel anatomical grid scheme, Graf BK, Lange RH and predictors of clinical.... Stimulation surgical techniques is available to accomplish this outcome predictors of 105 cases: 1697-706 lesion bed, giza,... Hardy stage [ 30 ] type I collagen [ 34 ] useful all... Ra, Pinsker E, Story RA, van Dijk CN orthopedics 1998 ; (. 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