Outcomes of Arthroscopic Bone Graft Transplantation for Hepple Stage V Osteochondral Lesions of the Talus

Overview

Journal Ann Transl Med

Publisher AME Publishing Company

Date 2021 Jun 24

PMID 34164518

Citations 9

Authors

Shengkun Li

Rong Lu

Jian Zhang

Hongyue Tao

Yinghui Hua

Affiliations

Soon will be listed here.

Abstract

Background: Based on MRI imaging findings, osteochondral lesions of the talus (OLT) can be classified into five stages, in which stage V represents OLT with subchondral cyst formation. The aim of this study was to evaluate the outcomes of patients undergoing arthroscopic transplantation of calcaneus bone graft for Hepple stage V OLT.

Methods: This retrospective study included 24 patients with Hepple stage V OLT (15 men and 9 women), with an average age of 39.8±12.9 years old. The mean follow-up period was 18.9±11.8 months. At this follow-up, all patients were clinically evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) score, the Karlsson Ankle Function Score (KAFS), the Tegner score, and the visual analogue scale (VAS). Furthermore, 14 patients underwent MRI imaging examinations, and the Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) 2.0 score was assessed.

Results: The AOFAS score, KAFS, Tegner activity score, and VAS pain score (preoperative: 62.2, 60.4, 2.1, and 6.2, respectively; postoperative: 92.8, 88.5, 4.2, and 1.6, respectively) improved significantly (P=0.0001). The MRI-based MOCART score of the articular cartilage repair tissue after surgery was 68±14.8.

Conclusions: Arthroscopic transplantation of calcaneus bone graft for Hepple stage V OLT could obtain satisfying clinical and radiological outcomes in the short-term.

Citing Articles

Scaffolds for Osteochondral Lesions of the Talus: Systematic Review and Meta-Analysis of the Last Ten Years Literature.

Veronesi F, Zielli S, Brogini S, Artioli E, Arceri A, Mazzotti A Bioengineering (Basel). 2024; 11(10).

PMID: 39451345 PMC: 11505056. DOI: 10.3390/bioengineering11100970.

Autologous osteoperiosteal transplantation for cystic osteochondral lesions of the talus: Bone reconstruction is essential.

Wei Y, Chen Z, Sun N, Tang Z, Guo H, Zeng C Chin J Traumatol. 2024; 27(6):395-402.

PMID: 39242245 PMC: 11624310. DOI: 10.1016/j.cjtee.2024.08.006.

Regeneration of Osteochondral Lesion of the Talus with Retrograde Drilling Technique: An In Vitro Pilot Study.

Veronesi F, Maglio M, Brogini S, Mazzotti A, Artioli E, Zielli S J Clin Med. 2024; 13(14).

PMID: 39064177 PMC: 11278244. DOI: 10.3390/jcm13144138.

ARTHROSCOPIC ANKLE JOINT AND ARTIFICIAL BONE GRAFTING FOR TREATMENT BONE CYSTS OF THE TALAR: A CASE REPORT.

Manh K, Xuan H, Huy T, Van H, Xuan Q Orthop Rev (Pavia). 2024; 16:116962.

PMID: 38957744 PMC: 11218867. DOI: 10.52965/001c.116962.

Influence of Subchondral Cysts on the Outcomes of Surgical Treatment for Osteochondral Lesions of the Talus: A Systematic Review and Meta-analysis.

Zhang J, Zheng K, Cai W, Huang X, Li Q Orthop J Sports Med. 2024; 12(2):23259671241226719.

PMID: 38343645 PMC: 10858665. DOI: 10.1177/23259671241226719.

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