An Evidence-Based Update on Fixation Procedures for Acute and Chronic Osteochondral Lesions of the Talus.

IF 2.7 4区医学 Q1 ORTHOPEDICS

CARTILAGE Pub Date : 2024-09-23 DOI:10.1177/19476035241280072

Tomoyuki Nakasa, Yasunari Ikuta, Naoki Haraguchi, Chul Hyun Park, Christian David Weber, Quinten G H Rikken, Jari Dahmen, Sjoerd A S Stufkens, Gino M M J Kerkhoffs, Masato Takao

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Abstract

Osteochondral lesions of the talus (OLT) involve the subchondral bone and the overlying articular cartilage. Various surgical treatments for these lesions are available, such as bone marrow stimulation (BMS), autologous osteochondral grafting, and fixation of an osteochondral fragment. Treatment choice depends on the condition of the lesion, which includes lesion size, morphology, location, and the presence of cysts. Among the surgical procedures available to date, in situ fixation of the osteochondral fragment has the advantage of restoring the articular surface while preserving the native hyaline cartilage and its subchondral bone. Fixation for OLT has been shown to be clinically successful for the treatment of both acute and chronic lesions. Moreover, the indication for osteochondral fragment fixation is expanding as recent studies have found good clinical outcomes in relatively small-sized lesions. The present article describes the current evidence on fixation for acute and chronic OLT.

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关于距骨急性和慢性骨软骨损伤固定程序的最新循证医学证据。

距骨骨软骨损伤（OLT）涉及软骨下骨和覆盖的关节软骨。针对这些病变有多种手术治疗方法，如骨髓刺激（BMS）、自体骨软骨移植和骨软骨片段固定。治疗方法的选择取决于病变的情况，包括病变的大小、形态、位置和是否存在囊肿。在目前可用的手术方法中，骨软骨碎片原位固定的优点是在恢复关节面的同时保留原生透明软骨及其软骨下骨。临床显示，OLT 固定术在治疗急性和慢性病损方面都取得了成功。此外，骨软骨碎片固定的适应症也在不断扩大，因为最近的研究发现，在相对较小的病变中也能取得良好的临床疗效。本文介绍了目前固定治疗急性和慢性 OLT 的证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

CARTILAGE ORTHOPEDICS-

CiteScore

6.90

自引率

7.10%

发文量

期刊介绍： CARTILAGE publishes articles related to the musculoskeletal system with particular attention to cartilage repair, development, function, degeneration, transplantation, and rehabilitation. The journal is a forum for the exchange of ideas for the many types of researchers and clinicians involved in cartilage biology and repair. A primary objective of CARTILAGE is to foster the cross-fertilization of the findings between clinical and basic sciences throughout the various disciplines involved in cartilage repair. The journal publishes full length original manuscripts on all types of cartilage including articular, nasal, auricular, tracheal/bronchial, and intervertebral disc fibrocartilage. Manuscripts on clinical and laboratory research are welcome. Review articles, editorials, and letters are also encouraged. The ICRS envisages CARTILAGE as a forum for the exchange of knowledge among clinicians, scientists, patients, and researchers. The International Cartilage Repair Society (ICRS) is dedicated to promotion, encouragement, and distribution of fundamental and applied research of cartilage in order to permit a better knowledge of function and dysfunction of articular cartilage and its repair.