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Long-term results of osteochondral autograft transplantation of the talus with a novel groove malleolar osteotomy technique
OBJECTIVES: This study aims to evaluate the long-term results of osteochondral autograft transfer (OAT) of talar lesions performed using a modified osteotomy technique. PATIENTS AND METHODS: This retrospective study included 20 consecutive patients (11 males, 9 females; mean age 33.5±11 years; range...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Bayçınar Medical Publishing
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607963/ https://www.ncbi.nlm.nih.gov/pubmed/32962583 http://dx.doi.org/10.5606/ehc.2020.75231 |
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author | Toker, Berkin Erden, Tunay Çetinkaya, Sarper Dikmen, Göksel Emre Özden, Vahit Taşer, Ömer |
author_facet | Toker, Berkin Erden, Tunay Çetinkaya, Sarper Dikmen, Göksel Emre Özden, Vahit Taşer, Ömer |
author_sort | Toker, Berkin |
collection | PubMed |
description | OBJECTIVES: This study aims to evaluate the long-term results of osteochondral autograft transfer (OAT) of talar lesions performed using a modified osteotomy technique. PATIENTS AND METHODS: This retrospective study included 20 consecutive patients (11 males, 9 females; mean age 33.5±11 years; range, 15 to 56 years) (21 ankles) with osteochondral lesions of the talus (OLT) treated with the OAT system between August 2002 and October 2008. We performed a modified sulcus groove osteotomy, which provides better exposure of medial and central lesions. After a minimum duration of 10 years following surgery, patients’ clinical functions were evaluated according to the American Orthopaedic Foot and Ankle Society (AOFAS) ankle- hindfoot scale and visual analog scale (VAS). The Tegner-Lysholm scoring system was used to determine the levels of knee activity. RESULTS: The mean follow-up period was 143.5 (range, 120 to 186) months. The mean AOFAS scores significantly improved from 60.4±7.4 (range, 48 to 70) preoperatively to 86.2±9.23 (range, 60 to 94) at the last follow-up (p≤0.05). The mean ankle VAS score significantly decreased from 6.3±0.4 (range, 5 to 7) preoperatively to 2.0±1.4 (range, 0 to 4). The mean Tegner-Lysholm score for this group was 89.7±11.7 (range, 68 to 100). Revision surgery was performed in only two patients because of impingement and arthritis. Recurrent knee pain at the donor site of the osteochondral autograft was observed in three patients (14%). CONCLUSION: In the present study, good to excellent results were obtained in the treatment of OLT with OAT for a minimum follow-up duration of 10 years. This novel technique can also simplify the steep learning curve, which is challenging for surgeons. |
format | Online Article Text |
id | pubmed-7607963 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Bayçınar Medical Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-76079632020-11-04 Long-term results of osteochondral autograft transplantation of the talus with a novel groove malleolar osteotomy technique Toker, Berkin Erden, Tunay Çetinkaya, Sarper Dikmen, Göksel Emre Özden, Vahit Taşer, Ömer Jt Dis Relat Surg Original Article OBJECTIVES: This study aims to evaluate the long-term results of osteochondral autograft transfer (OAT) of talar lesions performed using a modified osteotomy technique. PATIENTS AND METHODS: This retrospective study included 20 consecutive patients (11 males, 9 females; mean age 33.5±11 years; range, 15 to 56 years) (21 ankles) with osteochondral lesions of the talus (OLT) treated with the OAT system between August 2002 and October 2008. We performed a modified sulcus groove osteotomy, which provides better exposure of medial and central lesions. After a minimum duration of 10 years following surgery, patients’ clinical functions were evaluated according to the American Orthopaedic Foot and Ankle Society (AOFAS) ankle- hindfoot scale and visual analog scale (VAS). The Tegner-Lysholm scoring system was used to determine the levels of knee activity. RESULTS: The mean follow-up period was 143.5 (range, 120 to 186) months. The mean AOFAS scores significantly improved from 60.4±7.4 (range, 48 to 70) preoperatively to 86.2±9.23 (range, 60 to 94) at the last follow-up (p≤0.05). The mean ankle VAS score significantly decreased from 6.3±0.4 (range, 5 to 7) preoperatively to 2.0±1.4 (range, 0 to 4). The mean Tegner-Lysholm score for this group was 89.7±11.7 (range, 68 to 100). Revision surgery was performed in only two patients because of impingement and arthritis. Recurrent knee pain at the donor site of the osteochondral autograft was observed in three patients (14%). CONCLUSION: In the present study, good to excellent results were obtained in the treatment of OLT with OAT for a minimum follow-up duration of 10 years. This novel technique can also simplify the steep learning curve, which is challenging for surgeons. Bayçınar Medical Publishing 2020-09-11 /pmc/articles/PMC7607963/ /pubmed/32962583 http://dx.doi.org/10.5606/ehc.2020.75231 Text en Copyright © 2020, Turkish Joint Diseases Foundation http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Article Toker, Berkin Erden, Tunay Çetinkaya, Sarper Dikmen, Göksel Emre Özden, Vahit Taşer, Ömer Long-term results of osteochondral autograft transplantation of the talus with a novel groove malleolar osteotomy technique |
title | Long-term results of osteochondral autograft transplantation of the talus with a novel groove malleolar osteotomy technique |
title_full | Long-term results of osteochondral autograft transplantation of the talus with a novel groove malleolar osteotomy technique |
title_fullStr | Long-term results of osteochondral autograft transplantation of the talus with a novel groove malleolar osteotomy technique |
title_full_unstemmed | Long-term results of osteochondral autograft transplantation of the talus with a novel groove malleolar osteotomy technique |
title_short | Long-term results of osteochondral autograft transplantation of the talus with a novel groove malleolar osteotomy technique |
title_sort | long-term results of osteochondral autograft transplantation of the talus with a novel groove malleolar osteotomy technique |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607963/ https://www.ncbi.nlm.nih.gov/pubmed/32962583 http://dx.doi.org/10.5606/ehc.2020.75231 |
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