Osteochondral Lesions of the Talus An Individualized Treatment Paradigm from the Amsterdam Perspective

被引：58

作者：

Rikken, Quinten G. H. ^{[1
,2
,3
]}

Kerkhoffs, Gino M. M. J. ^{[1
,2
,3
]}

机构：

[1] Univ Amsterdam, Dept Orthopaed Surg, Amsterdam Movement Sci, Amsterdam UMC,Locat AMC, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands

[2] Acad Ctr Evidence Based Sports Med ACES, Amsterdam, Netherlands

[3] AMC VUmc IOC Res Ctr, Amsterdam Collaborat Hlth & Safety Sports ACHSS, Amsterdam, Netherlands

来源：

FOOT AND ANKLE CLINICS | 2021年 / 26卷 / 01期

关键词：

Osteochondral lesions; OLT; Osteochondral defects; OCD; Ankle; Talus; Current concepts;

D O I：

10.1016/j.fcl.2020.10.002

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：

Osteochondral lesions of the talus (OLTs) are characterized by damage to the articular cartilage of the talus and its underlying subchondral bone. Up to 75% of OLTs are caused by trauma, such as an ankle sprain or fracture. Physical examination and imaging are crucial for diagnosis and characterization of an OLT. No superior treatment for OLTs exists. It is paramount that an evidence-based personalized treatment approach is applied to patients with OLTs because lesion and patient characteristics guide treatment. This current concepts review covers clinical and preclinical evidence on OLT etiology, presentation, diagnosis, and treatment, all based on the Amsterdam perspective. © 2020 The Author(s)

引用

页码：121 / 136

页数：16

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