Osteochondral Lesions of the Talus: Size, Age, and Predictors of Outcomes

被引：21
作者：
Deol, Premjit Pete S. [1 ]
Cuttica, Daniel J. [2 ]
Smith, William Bret [3 ]
Berlet, Gregory C. [4 ]
机构：
[1] Panorama Orthoped & Spine Ctr, Golden, CO 80401 USA
[2] Orthopaed Foot & Ankle Ctr Washington DC, Falls Church, VA 22042 USA
[3] Moore Orthoped, Lexington, SC 29072 USA
[4] Orthoped Foot & Ankle Ctr, Westerville, OH 43082 USA
来源：
FOOT AND ANKLE CLINICS | 2013年 / 18卷 / 01期
关键词：
Osteochondritis dissecans; Osteochondral lesion; Talus; Cartilage; AUTOLOGOUS CHONDROCYTE IMPLANTATION; LOW-INTENSITY ULTRASOUND; BONE MORPHOGENETIC PROTEINS; FULL-THICKNESS DEFECTS; ARTICULAR-CARTILAGE DEFECTS; ENDOTHELIAL GROWTH-FACTOR; ARTHROSCOPIC TREATMENT; TALAR DOME; STEM-CELLS; FOLLOW-UP;
D O I：
10.1016/j.fcl.2012.12.010
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
In this article, our research on osteochondral lesions of the talus (OLTs) is summarized, the orthopedic literature is reviewed, and the direction of future research and treatment trends are discussed. Our research has explored the role of lesion size, significance of marrow edema, relationship of patient age, importance of lesion containment, and role of a stable cartilage lesion cap in the prognosis and outcomes of these lesions. We have identified smaller sized lesions, younger patients and contained lesions as independent predictors of success for the operative treatment of OLTs. Our data should facilitate the development of a more comprehensive treatment algorithm to more accurately predict success in operative management of these lesions.
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收藏
页码：13 / +
页数：23
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