Treatment of post-traumatic osteochondral lesions of the talus: a four-step approach

Ventura, Alberto; Terzaghi, Clara; Legnani, Claudio; Borgo, Enrico

doi:10.1007/s00167-012-2028-0

Cited by 27 publications

(26 citation statements)

References 37 publications

(53 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“… a RTS, return to sports. b References 6, 15, 17, 18, 20, 26, 29, 35, 38, 41, 43, 47, 54, 58 –60, 69, 75, 76, 85, 88, 92, 94. c Range of means of original data.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Return to Sports After Surgical Treatment of Osteochondral Defects of the Talus: A Systematic Review of 2347 Cases

Steman

Dahmen

Lambers

et al. 2019

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Osteochondral defects (OCDs) of the talus are found subsequent to ankle sprains and ankle fractures. With many surgical treatment strategies available, there is no clear evidence on return-to-sport (RTS) times and rates. Purpose: To summarize RTS times and rates for talar OCDs treated by different surgical techniques. Study Design: Systematic review; Level of evidence, 4. Methods: The literature from January 1996 to November 2018 was screened, and identified studies were divided into 7 different surgical treatment groups. The RTS rate, with and without associated levels of activity, and the mean time to RTS were calculated per study. When methodologically possible, a simplified pooling method was used to combine studies within 1 treatment group. Study bias was assessed using the MINORS (Methodological Index for Non-Randomized Studies) scoring system. Results: A total of 61 studies including 2347 talar OCDs were included. The methodological quality of the studies was poor. There were 10 retrospective case series (RCSs) that investigated bone marrow stimulation in 339 patients, with a pooled mean rate of RTS at any level of 88% (95% CI, 84%-91%); 2 RCSs investigating internal fixation in 47 patients found a pooled RTS rate of 97% (95% CI, 85%-99%), 5 RCSs in which autograft transplantation was performed in 194 patients found a pooled RTS rate of 90% (95% CI, 86%-94%), and 3 prospective case series on autologous chondrocyte implantation in 39 patients found a pooled RTS rate of 87% (95% CI, 73%-94%). The rate of return to preinjury level of sports was 79% (95% CI, 70%-85%) for 120 patients after bone marrow stimulation, 72% (95% CI, 60%-83%) for 67 patients after autograft transplantation, and 69% (95% CI, 54%-81%) for 39 patients after autologous chondrocyte implantation. The mean time to RTS ranged from 13 to 26 weeks, although no pooling was possible for this outcome measure. Conclusion: Different surgical treatment options for talar OCDs allow for adequate RTS times and rates. RTS rates decreased when considering patients’ return to preinjury levels versus return at any level.

show abstract

“… a RTS, return to sports. b References 6, 15, 17, 18, 20, 26, 29, 35, 38, 41, 43, 47, 54, 58 –60, 69, 75, 76, 85, 88, 92, 94. c Range of means of original data.…”

Section: Resultsmentioning

confidence: 99%

“…The Tegner score was also reported by 4 studies within this group. 6,38,85,94 Mean follow-up times ranged from 22 to 67 months. Mean preoperative scores ranged from 1.8 to 6.2, and mean postoperative scores ranged from 3.6 to 5.9.…”

Section: Resultsmentioning

confidence: 99%

Return to Sports After Surgical Treatment of Osteochondral Defects of the Talus: A Systematic Review of 2347 Cases

Steman

Dahmen

Lambers

et al. 2019

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…With regard to Part B, “Outcome criteria” had significantly higher scores compared with the others ( P < 0.05). Of the 22 included studies, 14 studies (63.6%) were of fair quality[ 3 - 5 , 13 , 19 , 20 , 23 - 25 , 27 , 28 , 30 - 32 ], 7 (31.7%) of poor quality[ 7 , 16 - 18 , 22 , 26 , 28 ] and only 1 (4.5%) study[ 21 ].…”

Section: Resultsmentioning

confidence: 99%

Systematic review of bone marrow stimulation for osteochondral lesion of talus - evaluation for level and quality of clinical studies

Yasui¹,

Ramponi²,

Seow³

et al. 2017

WJO

View full text Add to dashboard Cite

AIMTo clarify the quality of the studies indicating lesion size and/or containment as prognostic indicators of bone marrow stimulation (BMS) for osteochondral lesions of the talus (OLT).METHODSTwo reviewers searched the PubMed/MEDLINE and EMBASE databases using specific terms on March 2015 in accordance with the Preferred Reporting Items for Systemic Reviews and Meta-Analyses guidelines. Predetermined variables were extracted for all the included studies. Level of evidence (LOE) was determined using previously published criteria by the Journal of Bone and Joint Surgery and methodological quality of evidence (MQOE) was evaluated using the Modified Coleman Methodology Score.RESULTSThis review included 22 studies. Overall, 21 of the 22 (95.5%) included studies were level IV or level III evidences. The remaining study was a level II evidence. MQOE analysis revealed 14 of the 22 (63.6%) included studies having fair quality, 7 (31.8%) studies having poor quality and only 1 study having excellent quality.CONCLUSIONThe evidence supporting the use of lesion size and containment as prognostic indicators of BMS for OLTs has been shown to be of low quality.

show abstract

“…As the program evolves, more challenging exercises are chosen to safely advance the knee's strength and function [47]. Immediately after the operation, application of an ankle brace was recommended.…”

Section: Post-surgical Rehabilitationmentioning

confidence: 99%

“…They may require a walker or pair of crutches for up to six weeks to avoid putting too much pressure on the joint when they are up. Return to sporting activities usually permit 12 weeks after the operation [47].…”

Section: Post-surgical Rehabilitationmentioning

confidence: 99%

Talar Osteochondral Defects

Görmeli¹,

Ersoy²,

Görmeli³

2015

Med-Science

View full text Add to dashboard Cite

Intra-articular ankle injuries to the talar body is one of the common cause of athletic disability that have been estimated to occur in approximately 6.5% of the ankle sprains and commonly affect the dome of the talus. Patients are commonly referred to the clinics with an acute injury to the ankle or with chronic ankle instability. This article describes the clinical presentation and imaging to diagnose of talar osteochondral defects. The treatment optionsare also reviewed to give consensus on optimal treatment of this condition.

show abstract

Treatment of post-traumatic osteochondral lesions of the talus: a four-step approach

Cited by 27 publications

References 37 publications

Return to Sports After Surgical Treatment of Osteochondral Defects of the Talus: A Systematic Review of 2347 Cases

Return to Sports After Surgical Treatment of Osteochondral Defects of the Talus: A Systematic Review of 2347 Cases

Systematic review of bone marrow stimulation for osteochondral lesion of talus - evaluation for level and quality of clinical studies

Talar Osteochondral Defects

Contact Info

Product

Resources

About