SavedAdd your journal

Journals / Acta Orthopaedica et Traumatologica Turcica / 2019 / Cilt: 53 - Sayı: 5

One step treatment of talus osteochondral lesions with microfracture and cell free hyaluronic acid based scaffold combination

Necip Selçuk YONTAR
Lercan ASLAN
ATA CAN
Tahir ÖĞÜT
Pages
372–375
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: MFx and cell-free HA-based scaffold combination appear to be a safe and efficient technique that provide good clinical outcomes for lesions deeper than 7 mm.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to assess the effectiveness of microfracture and cell free hyaluronic acid (HA) based scaffold combination in the treatment of talus osteochondral defects (OCD).
📊
Key Findings & Data:Methods: This study retrospectively evaluated the clinical results of the 20 patients (14 males and 6 females, mean age at the time of surgery: 32.9 years (range: 16e52 years)) who were treated with MFx and cell-free HA-based scaffold combination for talus OCD smaller than 1.5 cm2 and deeper than 7 mm.
💡
Conclusion & Impact:Conclusion: MFx and cell-free HA-based scaffold combination appear to be a safe and efficient technique that provide good clinical outcomes for lesions deeper than 7 mm.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objective: The aim of this study was to assess the effectiveness of microfracture and cell free hyaluronic acid (HA) based scaffold combination in the treatment of talus osteochondral defects (OCD). Methods: This study retrospectively evaluated the clinical results of the 20 patients (14 males and 6 females, mean age at the time of surgery: 32.9 years (range: 16e52 years)) who were treated with MFx and cell-free HA-based scaffold combination for talus OCD smaller than 1.5 cm2 and deeper than 7 mm. Results were evaluated with AOFAS and VAS scores. Also, patients' satisfaction was questioned. Results: Patients were evaluated after an average follow-up of 20.3 months. Intraoperative measurements showed that mean depth of the lesions were 10.4 ± 1.9 mm after debridement. The mean preoperative AOFAS score was 57.45 ± 9.37, which increased to 92.45 ± 8.4 postoperatively (p < 0.05). VAS score was improved from 7.05 ± 2.45 to 1.65 ± 2.20 postoperatively (p < 0.05). Conclusion: MFx and cell-free HA-based scaffold combination appear to be a safe and efficient technique that provide good clinical outcomes for lesions deeper than 7 mm.

🔖

Cite This Article

YONTAR, N. S., ASLAN, L., CAN, A., ÖĞÜT, T. (2019). One step treatment of talus osteochondral lesions with microfracture and cell free hyaluronic acid based scaffold combination. Acta Orthopaedica et Traumatologica Turcica, Cilt: 53 - Sayı: 5, 372–375. https://ajindex.com/articles/147383

References (11)

  1. Schachter AK, Chen AL, Reddy PD, Tejwani NC. Osteochondral lesions of the talus. J Am Acad Orthop Surg. 2005;13(3):152e158
  2. Gobbi A, Francisco RA, Lubowitz JH, Allegra F, Canata G. Osteochondral lesions of the talus: randomized controlled trial comparing chondroplasty, microfracture, and osteochondral autograft transplantation. Arthroscopy. 2006;22(10):1085e1092.
  3. Gobbi A, Scotti C, Peretti GM. Scaffolding as treatment for osteochondral defects in the ankle. In: Randelli P, Dejour D, van Dijk CN, Denti M, Seil R, eds. Arthroscopy. Basic to Advanced. Berlin, Heidelberg: Springer-Verlag; 2016: 1003e1012.
  4. Ferkel RD, Dierckman BD, Phisitkul P. Arthroscopy of the foot and ankle. In: Coughlin MJ, Saltzman CL, Anderson RB, eds. Mann's Surgery of the Foot and Ankle. Philadelphia: Saunders; 2014:1725e1830. 5. van Dijk CN. Ankle Arthroscopy: Techniques Developed by Amsterdam Foot and Ankle School. Berlin: Springer-Verlag; 2014:149e186. https://doi.org/10.1007/ 978-3-642-35989-7
  5. Yasui Y, Wollstein A, Murawski CD, Kennedy JG. Operative treatment for osteochondral lesions of the talus: biologics and scaffold-based therapy. Cartilage. 2017;8(1):42e49.
  6. Lee KB, Park HW, Cho HJ, Seon JK. Comparison of arthroscopic microfracture for osteochondral lesions of the talus with and without subchondral cyst. Am J Sports Med. 2015;43(8):1951e1956.
  7. Lee DH, Lee KB, Jung ST, Seon JK, Kim MS, Sung IH. Comparison of early versus delayed weightbearing outcomes after microfracture for small to midsized osteochondral lesions of the talus. Am J Sports Med. 2012;40(9):2023e2028.
  8. Giannini S, Vannini F. Operative treatment of osteochondral lesions of the talar dome: current concepts review. Foot Ankle Int. 2004;25(3):168e175. https:// doi.org/10.1177/107110070402500311
  9. Robinson DE, Winson IG, Harries WJ, Kelly AJ. Arthroscopic treatment of osteochondral lesions of the talus. J Bone Joint Surg Br. 2003;85(7):989e993
  10. Zengerink M, Struijs PA, Tol JL, van Dijk CN. Treatment of osteochondral lesions of the talus: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2010;18(2):238e246.
  11. Van Bergen CJ, de Leeuw PA, van Dijk CN. Treatment of osteochondral defects of the talus. Rev Chir Orthop Reparatrice