Fixation of the osteochondral talar fragment yields good results regardless of lesion size or chronicity

Purpose Osteochondral talar lesions, regardless of their size and/or chronicity, are, at our hospital, now treated by fixation of the fragment if the talar dome cartilage is judged to be healthy. The retrospective study described herein was conducted to assess clinical outcomes of this treatment str...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2020, Vol.28 (1), p.291-297
Main Authors: Haraguchi, Naoki, Shiratsuchi, Takaki, Ota, Koki, Ozeki, Takuma, Gibu, Masaki, Niki, Hisateru
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Ankle
Ankle Injuries - surgery
Ankle Joint - diagnostic imaging
Ankle Joint - surgery
Biomedical materials
Cartilage
Child
Computed tomography
Cysts
Female
Fixation
Fracture Fixation, Internal - methods
Humans
Intra-Articular Fractures - surgery
Knee
Lesions
Ligaments
Male
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Osteotomy
Osteotomy - methods
Patients
Retrospective Studies
Surgery
Talus - injuries
Talus - surgery
Tomography, X-Ray Computed
Trauma
Treatment Outcome
Young Adult
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Summary:Purpose Osteochondral talar lesions, regardless of their size and/or chronicity, are, at our hospital, now treated by fixation of the fragment if the talar dome cartilage is judged to be healthy. The retrospective study described herein was conducted to assess clinical outcomes of this treatment strategy. Methods The study group comprised 44 patients (18 men and 26 women) with 45 such talar lesions. In all cases, the osteochondral fragment was reduced and fixed with bone harvested from the osteotomy site and shaped into peg(s) (one to four pegs per lesion). Median follow-up was 2.1 years (1–9 years). The lesion area was measured on computed tomography arthrographs, and the Japanese Society for Surgery of the Foot (JSSF) ankle/hindfoot scale was used to evaluate postoperative outcomes. Clinical failure was defined as a JSSF score 
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-019-05716-8