{"title":"胫骨远端干骺端自体移植物治疗青少年距骨软骨缺损一例","authors":"Hadiya Khan DPM , Lawrence Fallat DPM FACFAS","doi":"10.1016/j.fastrc.2025.100505","DOIUrl":null,"url":null,"abstract":"<div><div>Talar osteochondral defects (OCD) are debilitating lesions that can involve both the articular cartilage and underlying bone of the talus, often resulting from trauma or repetitive stress. These defects can cause significant pain, joint instability and limited mobility. This case report discusses the successful surgical treatment of an adolescent talar OCD using a distal tibial metaphyseal autograft through a medial malleolar osteotomy in a young patient with closed growth plates. Postoperatively, the patient exhibited full consolidation of the defect, complete resolution of pain, and regained full range of motion in the ankle joint, with a return to unrestricted physical activity. At the three-year post-operative visit, the patient remained asymptomatic, maintained radiographic consolidation of both the tibia and talus, had no limitations in activity and was able to make a full return to sports at six months.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100505"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Treatment of adolescent talar osteochondral defect with a distal tibial metaphyseal autograft: A case study\",\"authors\":\"Hadiya Khan DPM , Lawrence Fallat DPM FACFAS\",\"doi\":\"10.1016/j.fastrc.2025.100505\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Talar osteochondral defects (OCD) are debilitating lesions that can involve both the articular cartilage and underlying bone of the talus, often resulting from trauma or repetitive stress. These defects can cause significant pain, joint instability and limited mobility. This case report discusses the successful surgical treatment of an adolescent talar OCD using a distal tibial metaphyseal autograft through a medial malleolar osteotomy in a young patient with closed growth plates. Postoperatively, the patient exhibited full consolidation of the defect, complete resolution of pain, and regained full range of motion in the ankle joint, with a return to unrestricted physical activity. At the three-year post-operative visit, the patient remained asymptomatic, maintained radiographic consolidation of both the tibia and talus, had no limitations in activity and was able to make a full return to sports at six months.</div></div>\",\"PeriodicalId\":73047,\"journal\":{\"name\":\"Foot & ankle surgery (New York, N.Y.)\",\"volume\":\"5 2\",\"pages\":\"Article 100505\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Foot & ankle surgery (New York, N.Y.)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2667396725000400\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot & ankle surgery (New York, N.Y.)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2667396725000400","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Treatment of adolescent talar osteochondral defect with a distal tibial metaphyseal autograft: A case study
Talar osteochondral defects (OCD) are debilitating lesions that can involve both the articular cartilage and underlying bone of the talus, often resulting from trauma or repetitive stress. These defects can cause significant pain, joint instability and limited mobility. This case report discusses the successful surgical treatment of an adolescent talar OCD using a distal tibial metaphyseal autograft through a medial malleolar osteotomy in a young patient with closed growth plates. Postoperatively, the patient exhibited full consolidation of the defect, complete resolution of pain, and regained full range of motion in the ankle joint, with a return to unrestricted physical activity. At the three-year post-operative visit, the patient remained asymptomatic, maintained radiographic consolidation of both the tibia and talus, had no limitations in activity and was able to make a full return to sports at six months.