Long-term results of microfracture in the treatment of talus osteochondral lesions

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dc.authorid0000-0003-0023-7094
dc.authorid0000-0001-6742-8464
dc.contributor.authorPolat, Gökhan
dc.contributor.authorErşen, Ali
dc.contributor.authorErdil, Mehmet Emin
dc.contributor.authorKızılkurt, Taha
dc.contributor.authorKılıçoğlu, Önder
dc.contributor.authorAşık, Mehmet
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:01:36Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:01:36Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000373703400046
dc.descriptionPubMed ID: 26831855
dc.description.abstractOsteochondral lesions of the talus are common injuries, and many clinicians consider arthroscopic debridement and microfracture as the first-stage treatment. This study assessed the long-term clinical and radiographic outcomes of arthroscopic debridement and microfracture for osteochondral lesions of the talus. A total of 82 patients (48 males, 34 females) who were treated with arthroscopic debridement and microfracture for osteochondral lesions of the talus between 1996 and 2009 with a minimum 5-year follow-up were included in our study group. Functional scores (AOFAS, VAS) and ankle range of motion were determined, and an arthrosis evaluation was performed. Subgroup evaluations based on age, lesion localization, and defect size were performed using functional outcome correlations. The mean age of the patients was 35.9 +/- A 13.4 years (14-69 years), and the mean follow-up period was 121.3 months (61-217 months). The mean defect size was 1.7 +/- A 0.7 cm(2) (0.25-5). The mean pre-operative AOFAS score was 58.7 +/- A 5.2 (49-75), and the mean post-operative AOFAS score was 85.5 +/- A 9.9 (56-100). At the last follow-up, 35 patients (42.6 %) had no symptoms and 19 patients (23.1 %) had pain after walking more than 2 h or after competitive sports activities. Radiological assessments of arthrosis revealed that no patient had grade 4 arthritis but that 27 patients (32.9 %) had a one-stage increase in their arthrosis level. Subgroup analyses of the lesion location demonstrated that lateral lesions had significantly better functional results (p = 0.02). Arthroscopic debridement and microfracture provide a good option for the treatment of osteochondral lesions of the talus over the long term in select patients. Functional outcomes do not correlate with defect size or patient age. Orthopaedic surgeons should adopt the microfracture technique, which is minimally invasive and effective for treating osteochondral lesions of the talus. IV.
dc.identifier.citationPolat, G., Erşen, A., Erdil, M. E., Kızılkurt, T. ve Aşık, M. (2016). Long-term results of microfracture in the treatment of talus osteochondral lesions. Knee Surgery Sports Traumatology Arthroscopy, 24(4), 1299-1303. https://dx.doi.org/10.1007/s00167-016-3990-8
dc.identifier.doi10.1007/s00167-016-3990-8
dc.identifier.endpage1303
dc.identifier.issn0942-2056
dc.identifier.issn1433-7347
dc.identifier.issue4
dc.identifier.scopusqualityQ1
dc.identifier.startpage1299
dc.identifier.urihttps://dx.doi.org/10.1007/s00167-016-3990-8
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3364
dc.identifier.volume24
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofKnee Surgery Sports Traumatology Arthroscopyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectCartilage
dc.subjectMicrofracture
dc.subjectLong-Term Outcome
dc.subjectTalus Osteochondral Lesion
dc.subjectBone Marrow Stimulation
dc.titleLong-term results of microfracture in the treatment of talus osteochondral lesions
dc.typeArticle

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