Hosny, G., El-Mowafi, H., Rizk, A., Abouzied, M., Mourad, M. (2021). Short term outcome of arthroscopic drilling of osteochondral lesions of the talus. Benha Journal of Applied Sciences, 6(6), 223-229. doi: 10.21608/bjas.2021.214418
G.A. Hosny; H.M. El-Mowafi; A.S. Rizk; M.S. Abouzied; M.A. Mourad. "Short term outcome of arthroscopic drilling of osteochondral lesions of the talus". Benha Journal of Applied Sciences, 6, 6, 2021, 223-229. doi: 10.21608/bjas.2021.214418
Hosny, G., El-Mowafi, H., Rizk, A., Abouzied, M., Mourad, M. (2021). 'Short term outcome of arthroscopic drilling of osteochondral lesions of the talus', Benha Journal of Applied Sciences, 6(6), pp. 223-229. doi: 10.21608/bjas.2021.214418
Hosny, G., El-Mowafi, H., Rizk, A., Abouzied, M., Mourad, M. Short term outcome of arthroscopic drilling of osteochondral lesions of the talus. Benha Journal of Applied Sciences, 2021; 6(6): 223-229. doi: 10.21608/bjas.2021.214418
Short term outcome of arthroscopic drilling of osteochondral lesions of the talus
1Orthopaedic surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt
2Orthopaedic surgery, Dept., Faculty of Medicine, Mansoura Univ., Mansoura, Egypt
Abstract
Background: Osteochondral lesions of the talus (OLT) are any defects involving either the articular surface or the subchondral bone of the talus that encompass osteochondritis dissecans, osteochondral defects, and osteochondral fractures. These lesions often arise idiopathically or are related to acute trauma or repetitive microtrauma. The arthroscopic technique allows precise access to the site of injury and less tissue damage, allowing faster and functional recovery with fewer complication inherent to medial malleolus osteotomy or miniarthrotomy such as Infection, neurovascular injury, risk of injury to surrounding structures, risk of consolidation, delay or pseudoarthrosis and joint degeneration in the long term and increasing the possibility of the osteoarthritis. The main goal of this study was to evaluate the short term results of arthroscopic drilling of osteochondral lesions of the talus including preoperative assessment, operative techniques and short term result. Methods: The study was conducted at orthopedic surgery department- Behna university hospital on 20 patients with osteochondral lesion talus who arrived to the outpatient clinics of orthopedic surgery department- in the period between (June 2019 to September 2020) and are fulfilling the inclusion and exclusion criteria. Results: Three-quarters of the patients (75.0%) showed the traumatic mechanism of injury. The mean weight was 64 kg. About two-thirds (65.05) play sports. Only 10.0% of the patients had DM. Most patients were re-creational atheletes (65.0%). Most patients showed chondral lesion type (90.0%). The mean size was 1.1 cm. The most frequent location was posteromedial (55.0%), followed by anterolateral (35.0%) and central (10.0%). The most frequent radiographic classification was IIa (40.0%), followed by III (25.0%), while the least frequent classification was IV (15%).The most frequent MRI staging was IIa (40.0%), while the least frequent was V (5.0%). The most frequent CT staging was IIa (30.0%), while the least frequent were I, IIb, and IV (15% for each). The most frequent arthroscopic staging was B (30.0%), while the least frequent was A (5.0%). Conclusion: Treatment of osteochondral injuries of the talus by arthroscopy and injury resection with drilling and debridement improves pain and function of the ankle, regardless of the stage of the injury and its medial or lateral location.
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