Osteochondral Lesion of the Talus

@article{Choi2012OsteochondralLO,
  title={Osteochondral Lesion of the Talus},
  author={Woo Jin Choi and Bom Soo Kim and Jin Woo Lee},
  journal={The American Journal of Sports Medicine},
  year={2012},
  volume={40},
  pages={419 - 424}
}
Background: Several studies have addressed the issue of the feasibility of arthroscopic surgery in older patients, usually by choosing an arbitrary age limit. Hypothesis: Patient age is not associated with poor clinical outcome after arthroscopic surgery for osteochondral lesion of the talus (OLT), and other patient variables are the major determinants of clinical success/failure. Study Design: Cohort study; Level of evidence, 3. Methods: Between 2001 and 2008, 173 ankles underwent arthroscopic… 
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120 Citations
Highly Influential Citations
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120 Citations

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Comparison of Outcomes for Osteochondral Lesions of the Talus With and Without Chronic Lateral Ankle Instability
TLDR
Osteochondral lesions in an unstable ankle had an increased proportion of larger lesions and additional chondral lesions at the tip of the medial malleolus and the tibia plafond and inferior performance in sport and recreational activities may be more likely in patients with both OLT and CLAI.
Osteochondral Lesions of the Talus
TLDR
Reduction in contact area and shift in the location of peak stress with increasing defect size may contribute to articular cartilage degeneration, pain, and defect enlargement in patients with OLTs.
Arthroscopic management of small osteochondral lesions of the talus: drilling revisited
TLDR
Arthroscopic drilling for small OLT is safe and easy with results comparable to microfracture but with the advantages of deeper penetration and the ability to drill retrograde into posterior lesions or lesions with intact cartilage.
Arthroscopic Bone Marrow Stimulation Techniques for Osteochondral Lesions of the Talus
TLDR
Arthroscopic bone marrow stimulation techniques provided satisfactory clinical outcomes, however, older patients, deep lesions, and medial lesions uncovered with the medial malleolus were associated with inferior clinical outcomes.
Osteochondral Lesions of the Talus
TLDR
Differences were found with age distribution, duration of symptoms, and combined intra-articular lesions between the osteochondral- and chondral-type lesions of OLTs, and the American Orthopaedic Foot and Ankle Society and visual analog scale for pain showed significant improvement from preoperative to postoperative scores in both groups.
Outcomes of arthroscopic debridement and microfracture for osteochondral lesions of the talus
TLDR
Arthroscopic treatment of OLTs is a beneficial technique with low complication rate in broad range of patients and patient’s age and lesion size are guideway in patients requiring arthroscopy treatment.
Incidence of Coexisting Talar and Tibial Osteochondral Lesions Correlates With Patient Age and Lesion Location
TLDR
The incidence of coexisting talar and tibial OCLs may be more prevalent than what previous reports have suggested, with older patients being more likely to present with this pathology.
Bone Marrow Stimulation for Osteochondral Lesions of the Talus: Are Clinical Outcomes Maintained 10 Years Later?
TLDR
BMS for OLT yields satisfactory clinical outcomes at a mean follow-up of 13.9 years and prognostic factors associated with revision surgery were the size of the lesion (preoperative magnetic resonance imaging measurement ≥150 mm2) and obesity (body mass index ≥25; P = .009).
Predictors of Osteochondral Lesions of the Talus in Patients Undergoing Broström-Gould Ankle Ligament Reconstruction.
TLDR
A retrospective chart review was performed on patients who underwent a primary Broström-Gould lateral ankle ligament reconstruction for chronic ankle instability from 2010 to 2014, finding females were less likely to have a lesion than males and athletic participation was a positive predictor of a concomitant lesion.
Osteochondral Lesions of the Talus and Autologous Matrix-Induced Chondrogenesis: Is Age a Negative Predictor Outcome?
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References

SHOWING 1-10 OF 28 REFERENCES
Osteochondral Lesion of the Talus
TLDR
Initial defect size is an important and easily obtainable prognostic factor in osteochondral lesions of the talus and so may serve as a basis for preoperative surgical decisions.
Arthroscopic treatment of osteochondral lesions of the talus with correlation of outcome scoring systems.
  • S. Hunt, O. Sherman
  • Medicine
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 2003
TLDR
A retrospective review of arthroscopically treated osteochondral lesions of the talus (OCLTs) to determine their outcome and to analyze the correlation of3 subjective outcome scoring systems for the ankle showed positive correlation among the 3 subjective outcome systems.
Arthroscopic Treatment of Chronic Osteochondral Lesions of the Talus
TLDR
Arthroscopic treatment of chronic symptomatic osteochondral lesions of the talus results in good clinical outcomes in the majority of patients, however, pain and functional limitation may persist in some patients, especially those noted to have unstable oste mitochondral defects at the time of arthroscopy.
Microfracture for osteochondral lesions of the ankle: outcome analysis and outcome predictors of 105 cases.
  • B. Chuckpaiwong, E. Berkson, G. Theodore
  • Medicine
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 2008
Arthroscopic treatment of osteochondritis dissecans of the talus
Arthroscopic treatment of osteochondral lesions of talus
TLDR
This study suggests that arthroscopic treatment of the osteochondrallesions of the talus can yield the same results as surgical techniques with minimal morbidity, brief hospitalisation and rapid functional recovery.
Articular Talar Injuries in Athletes
TLDR
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.
Radiographic Changes and Clinical Results of Osteochondral Defects of the Talus with and without Subchondral Cysts
TLDR
It is suggested that a small Cystic lesion can be treated by arthroscopic microfracture or abrasion arthroplasty and that the existence of a small cyst in an osteochondral defect lesion may not affect the postoperative prognosis.
Arthroscopic treatment of osteochondritis dissecans of the talus.
  • D. Ogilvie-Harris, E. A. Sarrosa
  • Medicine
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 1999
TLDR
A retrospective study of 33 patients who underwent arthroscopic treatment for osteochondritis dissecans of the talus showed statistically significant improvement in terms of pain, swelling, stiffness, limp, and activity level.
Outcomes of microfracture for traumatic chondral defects of the knee: average 11-year follow-up.
TLDR
Patients 45 years and younger who underwent the microfracture procedure for full-thickness chondral defects, without associated meniscus or ligament pathology, showed statistically significant improvement in function and indicated that they had less pain.
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