Curative effect of autologous periosteal iliac bone graft and allogeneic bone powder combined with PRP on HeppleⅤ talus osteochondral injury
10.3969/j.issn.1673-9701.2024.05.009
- VernacularTitle:自体带骨膜髂骨移植与同种异体骨骨粉联合PRP治疗距骨骨软骨损伤的治疗效果比较研究
- Author:
Suqi WU
1
;
Hansong WU
1
;
Dongmei YU
1
;
Qiong CHEN
1
;
Rongrong CHI
1
Author Information
1. Department of Orthopedics, Jinhua TCM Hospital Affiliated to Zhejiang Chinese Medical University, Jinhua 321017, Zhejiang, China
- Publication Type:Journal Article
- Keywords:
Iliac bone with periosteum;
Allogeneic bone powder;
Platelet rich gel(PRP);
Osteochondral injury of talus(OLT)
- From:
China Modern Doctor
2024;62(5):40-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze and compare the treatment of HeppleⅤ talus osteochondral injury(OLT)with autologous periosteal iliac bone graft and allogeneic bone powder combined with platelet rich gel(PRP).Methods Totally 62 HeppleⅤOLT patients admitted to our hospital from October 2018 to October 2022 were selected as the research subjects.They were divided into a transplantation group(31 patients received autologous periosteal iliac bone transplantation treatment)and a combination group(31 patients received allogeneic bone powder combined with PRP treatment)based on their treatment methods.Conduct a 12 month postoperative outpatient follow-up study on patients,evaluate and compare the treatment effectiveness,ankle joint range of motion(ROM),American Society of Orthopedic Foot and Ankle Surgeons(AOFAS)ankle posterior foot score,pain score,satisfaction,and incidence of complications between the two groups of patients at 12 months after surgery.Results The total effective rate of the transplantation group(96.77%)was not significantly different from that of the combination group(93.55%,P>0.05).At 12 months after surgery,the ROM and AOFAS scores of both groups improved(P<0.05),and there was no statistically significant difference between the groups(P>0.05).At 1 month,3 months,6 months,and 12 months after surgery,the pain scores of both groups decreased compared to before surgery(P<0.05).The subjective overall satisfaction of patients in the transplantation group(77.42%)was lower than that in the combination group(96.77%,P<0.05).The total incidence of complications in the transplantation group(19.35%)was significantly higher than that in the combination group(3.23%,P<0.05).Conclusion Allogeneic bone powder combined with PRP can avoid additional surgical incisions,increase patient subjective satisfaction,and increase the incidence of postoperative complications.
