Journal article
Cartilage repair of the talus.
- Schäfer DB Orthopaedic Clinic of the University of Basel, Spitalstr. 21, CH-4031 Basel, Switzerland. dschaefer@uhbs.ch
- 2004-01-15
Published in:
- Foot and ankle clinics. - 2003
English
The cause of a typical osteochondral lesion of the talus is traumatic; if symptomatic, several options exist. Because nonoperative treatment results in no more than 50% good to excellent results, the following types of surgery are in clinical use: (1) debridement and drilling, (2) osteochondral transfer, and (3) autologous chondrocyte transplantation. Reported good to excellent results are at least 80% in the short term. Currently available data allow no recommendation of a specific therapy for a specific lesion. Advocates of drilling and debridement accept that the repair tissue is fibrocartilage; osteochondral transfer includes a donor side morbidity. We are still at the beginning of cartilage repair; it will take time before a certain type of lesion can be treated with the best modality because that requires comparative randomized prospective studies with a long follow-up. All modern cartilage repair techniques, that were initially investigated at the knee joint, are now in use for ankle osteochondral lesions. Reported short-term success rates are greater than 80%. Further improvements will depend on the understanding of the pathogenesis and the role of contributing factors (eg, instability).
- Language
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- English
- Open access status
- closed
- Identifiers
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- DOI 10.1016/s1083-7515(03)00143-8
- PMID 14719839
- Persistent URL
- https://sonar.ch/global/documents/129533
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