Role of Demineralized Allograft Subchondral Bone in the Treatment of Shoulder Lesions of the Talus: Clinical Results With Two-Year Follow-Up

Abstract Cystic osteochondral lesions of the talus present a considerable challenge for foot and ankle surgeons. The purpose of the present study was to evaluate the effect of a medial malleolar osteotomy and implantation of demineralized allograft subchondral bone on pain and function 2 years after...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2015-07, Vol.54 (4), p.717-722
Main Authors: Galli, Melissa M., DPM, MHA, AACFAS, Protzman, Nicole M., MS, Bleazey, Scott T., DPM, AACFAS, Brigido, Stephen A., DPM, FACFAS
Format: Article
Language:English
Subjects:
Adult
Allografts
ankle injuries/surgery
articular surface injuries
bone substitutes
Bone Transplantation
cartilage
Cartilage, Articular - injuries
Cartilage, Articular - surgery
Disability Evaluation
Female
Follow-Up Studies
Humans
Male
Orthopedics
osteochondral lesions of talus
Talus - injuries
Talus - surgery
Visual Analog Scale
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Summary:Abstract Cystic osteochondral lesions of the talus present a considerable challenge for foot and ankle surgeons. The purpose of the present study was to evaluate the effect of a medial malleolar osteotomy and implantation of demineralized allograft subchondral bone on pain and function 2 years after surgery. For inclusion, patients demonstrated radiographic evidence of a medial cystic full-thickness osteochondral defect of the talus and previously failed microfracture (N = 12). We hypothesized that improvements in pain and disability would be maintained across time. Compared with the preoperative values, 2 years after surgery, pain and disability had significantly reduced ( p  
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2014.05.008