Arthroscopic debridement of osteochondral lesions of the talus: A systematic review

Fermín, Theodorakys Marín; Hovsepian, Jean Michel; D’Hooghe, Pieter; Papakostas, Emmanouil

doi:10.1016/j.foot.2021.101852

Cited by 10 publications

(9 citation statements)

References 60 publications

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“…microfracture, retrograde drilling) of OLT. Today, BMS is the most common first-line technique of operative treatment for OLT, even without proven superiority over debridement alone ( 23 ).…”

Section: Therapy Of Osteochondral Lesion Of the Talusmentioning

confidence: 99%

Osteochondral lesion of the talus: still a problem?

Krause

Anwander

2022

EFORT Open Reviews

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Osteochondral lesion of the talus (OLT) often occurs after ankle trauma or repetitive micro-traumata, whereas the actual etiology remains unclear. The most common symptoms are local pain deep in the medial or lateral ankle that increases with weight-bearing and activity, accompanied by tenderness and swelling. Eventually, most patients with symptomatic or unstable OLT require surgery. Many reasonable operative techniques have been described, whereas most lead to similar and satisfactory results. They can be divided into cartilage repair, cartilage regeneration and cartilage replacement techniques. The OLT size and morphology in the first place but also surgeon and individual patient aspects are considered when it comes to surgery. For high postoperative success and low recurrence rates, underlying causes, for example, ligamentous instability and hindfoot malalignment should also be addressed during surgery.

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Section: Therapy Of Osteochondral Lesion Of the Talusmentioning

confidence: 99%

Osteochondral lesion of the talus: still a problem?

Krause

Anwander

2022

EFORT Open Reviews

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“…Thus, improving mechanical symptoms and synovial inflammation. 27 Additionally, the defect's bed can be perforated with a wide variety of instruments to allow an influx of bone marrow, initiating a signaling cascade with the ulterior filling by fibrocartilage tissue. 5 , 9 , 27 Until recently, debridement and BMS techniques were considered the initial treatment of OLT 9 , 19 This approach is relatively quick, easy, and inexpensive; patients can return to sports (RTS) quicker with a faster rehabilitation time, making it of particular interest for OLT management in athletes.…”

Section: Debridement and Bms Techniquesmentioning

confidence: 99%

Osteochondral lesions of the talar dome in the athlete: what evidence leads to which treatment

Fermín

Macchiarola

Zampeli

et al. 2022

Journal of Cartilage & Joint Preservation

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“…Likewise, in a recent systematic review by Marín Fermín et al 4 no conclusive evidence was found regarding the superiority of BMS over AD alone, and evidence continues to be scarce on AD implementation. The purpose of this narrative review was to define the current role of AD alone and its potential benefits in treating OLT in athletes.…”

Section: Introductionmentioning

confidence: 96%

“…[1][2][3] AD encompasses the smoothening of fibrillation, flaps, or loose bodies of the cartilage surface and creating right-shouldered and stable margins using arthroscopic instruments like shavers or curettes. 4 However, despite its comprehensive implementation in the surgical treatment of osteochondral lesions of the talar dome (OLT) during the last century, its practice is rather abandoned nowadays. Newer techniques are preferred, and AD alone is currently omitted in most treatment algorithms but combined with bone marrow stimulation (BMS) techniques.…”

Section: Introductionmentioning

confidence: 99%