Osteochondral Lesions of the Talus: A Review on Talus Osteochondral Injuries, Including Osteochondritis Dissecans

被引:34
作者
Bruns, Juergen [1 ]
Habermann, Christian [2 ]
Werner, Mathias [3 ]
机构
[1] Wilhelmsburger Krankenhaus Gross Sand, Gross Sand 3, D-21107 Hamburg, Germany
[2] Marien Hosp, Hamburg, Germany
[3] Vivantes Klinikum Friedrichshain, Berlin, Germany
关键词
repair; talus; osteochondral lesions; osteochondritis dissecans tali; cartilage;
D O I
10.1177/1947603520985182
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
This is a review on talus osteochondritis dissecans and talus osteochondral lesions. A majority of the osteochondral lesions are associated with trauma while the cause of pure osteochondritis dissecans is still much discussed with a possible cause being repetitive microtraumas associated with vascular disturbances causing subchondral bone necrosis and disability. Symptomatic nondisplaced osteochondral lesions can often be treated conservatively in children and adolescents while such treatment is less successful in adults. Surgical treatment is indicated when there is an unstable cartilage fragment. There are a large number of different operative technique options with no number one technique to be recommended. Most techniques have been presented in level II to IV studies with a low number of patients with short follow ups and few randomized comparisons exist. The actual situation in treating osteochondral lesions in the ankle is presented and discussed.
引用
收藏
页码:1380S / 1401S
页数:22
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