Chaput tuberosity osteotomy and lateral malleolus sagittal osteotomy in treatment of talus osteochondral lesions with autologous osteochondral transplantation
10.3760/cma.j.cn115530-20210823-00391
- VernacularTitle:经Chaput结节联合外踝截骨治疗距骨外侧骨软骨损伤的疗效分析
- Author:
Jiafa ZHENG
1
;
Xiufeng SONG
;
Hongzhi LI
;
Jinming ZHOU
;
Shengyi GUAN
;
He YU
;
Zhijun LI
Author Information
1. 大连市第二人民医院骨科，大连 116011
- Keywords:
Cartilage;
Wounds and injuries;
Ankle joint;
Osteotomy;
Transplantation
- From:
Chinese Journal of Orthopaedic Trauma
2022;24(4):355-359
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical outcomes of Chaput tuberosity osteotomy and lateral malleolus sagittal osteotomy in the treatment of talus osteochondral lesions with autologous osteochondral transplantation (AOT).Methods:From January 2017 to December 2019, Chaput tuberosity osteotomy and lateral malleolus sagittal osteotomy were performed in the AOT treatment of 11 patients with talus osteochondral lesions. They were 9 men 2 women, with a mean age of 32. 6 years (range, from 22 to 45 years). Their lesions were all Hepple type V. Their American Orthopaedic Foot and Ankle Society (AOFAS) score, visual analogue scale (VAS), International Knee Documentation Committee Knee Evaluation Form (IKDC) score, and imaging data were measured pre- and post-operatively for assessment of clinical outcomes.Results:All the patients were followed up for 13 to 24 months (average, 15.6 months). Their AOFAS (94.3±2.9) and VAS (1.2±0.4) scores at the final follow-up were significantly improved compared with the pre-operative values (49.5±6.6 and 5.7±1.2) ( P<0.05). There was no significant difference between their pre- and post-operative IKDC scores for the ipsilateral knee joint ( P>0.05). The imaging showed that the talus cystic change disappeared and the grafted bone was fully fused with the talus with no abnormal change in the joint space. Conclusion:In the AOT treatment of talus osteochondral lesions, Chaput tuberosity osteotomy and lateral malleolus sagittal osteotomy can obviously relieve ankle pain and improve ankle function.
