Advances in the treatment of osteochondral lesions of the talus
10.3760/cma.j.cn115396-20240722-00230
- VernacularTitle:距骨骨软骨损伤治疗进展
- Author:
Jiazheng WANG
1
;
Chenglin WU
;
Zhongmin SHI
Author Information
1. 上海交通大学医学院附属第六人民医院骨科-足踝外科，上海 200233
- Keywords:
Talus;
Osteochondritis;
Platelet-rich plasma;
Transplantation, autologous
- From:
International Journal of Surgery
2024;51(11):766-772
- CountryChina
- Language:Chinese
-
Abstract:
Osteochondral lesions of the talus (OLT) was defined as lesions involving the articular cartilage and subchondral bone of the talus. The most common cause of OLT is trauma including ankle sprains and fractures, while other causes include non-traumatic factors such as chronic ankle injuries. The diagnosis of OLT is made by combining the patient′s medical history, symptoms and signs, and imaging studies such as X-ray, CT and MRI. Microfracture(MF) is the gold standard of treatment for injuries smaller than 150 mm 2, and while different drill diameters and depths have different effects on outcomes. The overall long-term outcome of MF is of concern. The choice of various restorative or rehabilitative procedures based on the patients’ symptoms, lesion size and staging, as well as the combination with arthrocentesis biotherapy, is a new trend in the treatment of OLT. In addition, for OLT combined with chronic lateral ankle instability(CLAI), ankle impingement or lower limb malalignment, one-stage combined treatment will improve the prognosis of patients. The coming of a new kind of material and a technique, such as hydrogel or organoids, makes a bright future foreseeable.
