Articular Talar Injuries in Athletes

Saxena, Amol; Eakin, Colin L.

doi:10.1177/0363546507303561

Cited by 293 publications

(111 citation statements)

References 28 publications

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“…Microfracturing, as part of an arthroscopic procedure, is a well established treatment option used to treat osteochondral defects in the knee and ankle – the joints that bear the greatest loads in the human body (10-12,14,32). In addition to the already mentioned benefits of arthroscopy in general, there is a substantially reduced risk of flexion contracture or ectopic ossification, no heat necrosis of surrounding bone (as in drilling), no donor site morbidity (as in mosaicplasty), no delayed joint swelling or bone resorption (as in pinning), and greater cost-effectiveness on the whole (23-25,29,33).…”

Section: Discussionmentioning

confidence: 99%

Osteochondritis dissecans of the elbow: excellent mid-term follow-up results in teenage athletes treated by arthroscopic debridement and microfracture

2012

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AimTo extend the microfracture procedure, which has been proven successful on osteochondritis dissecans (OCD) lesions in the knee and ankle, to OCD lesions in the elbow.MethodsNine young patients were treated by arthroscopic debridement and microfracture by a single surgeon. The average age at operation was 15.0 years (median 15; range 12-19). The average length of the follow-up was 5.3 years (median 5; range 2-9). The follow-up included physical examination and patient interview with elbow function scoring. Success of treatment was determined according to pre-operative and follow-up Mayo Elbow Performance Index scores and the patients’ return to sports.ResultsEight patients scored excellent results on the follow-up and 1 scored a good result. Four out of 9 patients were able to increase their training intensity, 2 returned to the same level of activity, 2 changed sports (due to reasons unrelated to the health of their elbow), and 1 left professional sports and started training only recreationally. No patients stopped participating in sports altogether.ConclusionsWe advocate arthroscopic microfracturing, followed by a strict rehabilitation regime, as a highly effective treatment for OCD of the humeral capitellum.

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Section: Discussionmentioning

confidence: 99%

Osteochondritis dissecans of the elbow: excellent mid-term follow-up results in teenage athletes treated by arthroscopic debridement and microfracture

2012

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“…In fact, some reports suggest that up to 50 % of acute ankle sprains and fractures may have associated OLTs (Savage-Elliott et al 2014; Saxena and Eakin 2007). Common symptoms of OLTs include increased pain, stiffness, and functional limitations including decreases in activity level (Savage-Elliott et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Bone marrow aspirate concentrate for the treatment of osteochondral lesions of the talus: a systematic review of outcomes

et al. 2016

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BackgroundThe goal of this perform a systematic review on the outcomes of bone marrow aspirate concentrate (BMAC) for the treatment of chondral defects and osteoarthritis (OA) of the talus.ResultsThe systematic search performed identified 47 studies after duplicates were removed. After inclusion criteria were applied four studies were considered for insightful analysis for the treatment of focal chondral defects in the foot and ankle with the use of BMAC. Three studies were retrospective and one study was prospective in nature. One study was a comparative cohort study and three studies were case series.ConclusionsThis review denotes that there exists an overwhelming paucity of long-term data and high-level evidence supporting BMAC for the treatment of chondral defects. Nonetheless, the evidence available showed varying degrees of beneficial results of BMAC for the treatment of ankle cartilage defects. The limited literature presented in this review demonstrates the need for more advanced, comparative studies to further investigate the efficacy, safety and techniques for BMAC in the treatment of OLTs. The authors recommend that BMAC therapy should be performed with careful consideration until the application and target population for this treatment are established.

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“…In our study, the blinded observer performed and recorded the results; the individual who performed all the injections was not blinded because of the distinct difference in the viscosity of the injected materials in the different groups. In another randomized prospective study performed by Doral et al, 14 41 patients were injected intra-articularly with HA, whereas the remaining 16 patients did not receive a postoperative injection after arthroscopic debridement and microfracture for talar OCLs. After 2 years of follow-up, the authors found significantly higher scores in the injection group compared to the noninjection group in both the Freiburg and AOFAS scoring systems.…”

Section: Discussionmentioning

confidence: 99%

Clinical Effects of Platelet-Rich Plasma and Hyaluronic Acid as an Additional Therapy for Talar Osteochondral Lesions Treated with Microfracture Surgery

et al. 2015

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Articular Talar Injuries in Athletes

Abstract: Talar bone grafting required a longer time to return to activity than microfracture in high-demand patients, but both groups had similar postoperative AOFAS scores. When applied to appropriate lesions, both techniques allow athletic patients to return to sports.

Cited by 293 publications

References 28 publications

Osteochondritis dissecans of the elbow: excellent mid-term follow-up results in teenage athletes treated by arthroscopic debridement and microfracture

Osteochondritis dissecans of the elbow: excellent mid-term follow-up results in teenage athletes treated by arthroscopic debridement and microfracture

Bone marrow aspirate concentrate for the treatment of osteochondral lesions of the talus: a systematic review of outcomes

Clinical Effects of Platelet-Rich Plasma and Hyaluronic Acid as an Additional Therapy for Talar Osteochondral Lesions Treated with Microfracture Surgery

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