SavedAdd your journal

Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2019 / Cilt: 30 - Sayı: 2

Comparison of arthroscopic microfracture and cell-free scaffold implantation techniques in the treatment of talar osteochondral lesions

Talar osteokondral lezyonların tedavisinde artroskopik mikrokırık ve hücresiz çatı implantasyonu tekniklerinin karşılaştırılması

Toygun Kağan EREN
Dilan Ece GEYLAN
Ali EREN
Muhammet Baybars ATAOĞLU
Ali Yusuf ÖNER
Ulunay KANATLI
Pages
97–105
Publication Date
2022-10-18
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)

The mean preoperative AOFAS score increased from 60.6±13.9 to 82.1±11.8 in the microfracture group (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: This study aims to compare two single-step arthroscopic techniques, microfracture and cell-free scaffold implantation, in the treatment of talar osteochondral lesions (OCLs) clinically and radiologically.
📊
Key Findings & Data:Patients and methods: This retrospective study included 62 patients (35 males, 27 females; mean age 41±13 years; range, 15 to 65 years) diagnosed with talar OCLs between March 2007 and January 2015.
💡
Conclusion & Impact:The mean preoperative AOFAS score increased from 60.6±13.9 to 82.1±11.8 in the microfracture group (p
🔬Design:Research Article
📍Scope:2007 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to compare two single-step arthroscopic techniques, microfracture and cell-free scaffold implantation, in the treatment of talar osteochondral lesions (OCLs) clinically and radiologically. Patients and methods: This retrospective study included 62 patients (35 males, 27 females; mean age 41±13 years; range, 15 to 65 years) diagnosed with talar OCLs between March 2007 and January 2015. Patients who were followed-up with a minimum of 24 months with lesions larger than 1 cm2 were included. Pre- and postoperative clinical evaluations were performed according to the American Orthopedic Foot and Ankle Society (AOFAS) anklehindfoot scale and radiological evaluations according to the magnetic resonance observation of cartilage repair tissue (MOCART) scale. Results: Patients were divided into microfracture (n=22) and scaffold (n=40) groups. The mean follow-up duration was 36.1±14.9 months. The mean preoperative AOFAS score increased from 60.6±13.9 to 82.1±11.8 in the microfracture group (p

Özet

Amaç: Bu çalışmada talar osteokondral lezyon (OKL)’ların tedavisinde tek aşamalı iki artroskopik teknik olan mikrokırık ve hücresiz çatı implantasyonu klinik ve radyolojik olarak karşılaştırıldı. Hastalar ve yöntemler: Bu retrospektif çalışmaya Mart 2007 ve Ocak 2015 tarihleri arasında talar OKL tanısı konulmuş olan 62 hasta (35 erkek, 27 kadın; ort. yaş 41±13 yıl; dağılım, 15-65 yıl) dahil edildi. Minimum 24 ay takip edilen ve lezyonları 1 cm2’den büyük olan hastalar çalışmaya dahil edildi. Ameliyat öncesi ve sonrası klinik değerlendirmeler Amerikan Ortopedik Ayak ve Ayak Bileği Cemiyeti (AOFAS) ayak bileği-arka ayak ölçeği ve radyolojik değerlendirmeler kıkırdak tamir dokusunun manyetik rezonans gözlemi (MOCART) ölçeğine göre yapıldı. Bulgular: Hastalar mikrokırık (n=22) ve hücresiz çatı (n=40) gruplarına ayrıldı. Ortalama takip süresi 36.1±14.9 ay idi. Ameliyat öncesi ortalama AOFAS skoru mikrokırık grubunda 60.6±13.9’dan 82.1±11.8’e (p

🔖

Cite This Article

EREN, T. K., GEYLAN, D. E., EREN, A., ATAOĞLU, M. B., ÖNER, A. Y., KANATLI, U. (2022). Comparison of arthroscopic microfracture and cell-free scaffold implantation techniques in the treatment of talar osteochondral lesions. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 30 - Sayı: 2, 97–105. https://ajindex.com/articles/498397

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Badekas T, Takvorian M, Souras N. Treatment principles for osteochondral lesions in foot and ankle. Int Orthop 2013;37:1697-706.
  2. Navid DO, Myerson MS. Approach alternatives for treatment of osteochondral lesions of the talus. Foot Ankle Clin 2002;7:635-49.
  3. Leontaritis N, Hinojosa L, Panchbhavi VK. Arthroscopically detected intra-articular lesions associated with acute ankle fractures. J Bone Joint Surg [Am] 2009;91:333-9.
  4. Camp CL, Stuart MJ, Krych AJ. Current concepts of articular cartilage restoration techniques in the knee. Sports Health 2014;6:265-73.
  5. Tokgöz MA, Atik OŞ, Esendağlı G, Öğüt B, Bozkurt HH. Is it possible that the pathogenesis of osteoarthritis could start with subchondral trabecular bone loss like osteoporosis? Eklem Hastalik Cerrahisi 2018;29:152-8.
  6. Gudas R, Kalesinskas RJ, Kimtys V, Stankevicius E, Toliusis V, Bernotavicius G, et al. A prospective randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint in young athletes. Arthroscopy 2005;21:1066-75.
  7. Chuckpaiwong B, Berkson EM, Theodore GH. Microfracture for osteochondral lesions of the ankle: outcome analysis and outcome predictors of 105 cases. Arthroscopy 2008;24:106-12.
  8. Derrett S, Stokes EA, James M, Bartlett W, Bentley G. Cost and health status analysis after autologous chondrocyte implantation and mosaicplasty: a retrospective comparison. Int J Technol Assess Health Care 2005;21:359-67.
  9. Van Assche D, Staes F, Van Caspel D, Vanlauwe J, Bellemans J, Saris DB, et al. Autologous chondrocyte implantation versus microfracture for knee cartilage injury: a prospective randomized trial, with 2-year follow-up. Knee Surg Sports Traumatol Arthrosc 2010;18:486-95.
  10. Valderrabano V, Leumann A, Rasch H, Egelhof T, Hintermann B, Pagenstert G. Knee-to-ankle mosaicplasty for the treatment of osteochondral lesions of the ankle joint. Am J Sports Med 2009;37:105S-11S. Farr J, Cole BJ, Sherman S, Karas V. Particulated articular cartilage: CAIS and DeNovo NT. J Knee Surg 2012;25:23-9.
  11. Saltzman BM, Lin J, Lee S. Particulated Juvenile Articular Cartilage Allograft Transplantation for Osteochondral Talar Lesions. Cartilage 2017;8:61-72.
  12. Valderrabano V, Miska M, Leumann A, Wiewiorski M. Reconstruction of osteochondral lesions of the talus with autologous spongiosa grafts and autologous matrixinduced chondrogenesis. Am J Sports Med 2013;41:519-27.
  13. Usuelli FG, D’Ambrosi R, Maccario C, Boga M, de Girolamo L. All