Kruse Dustin L, Ng Alan, Paden Matthew, Stone Paul A
Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO, USA.
J Foot Ankle Surg. 2012 Mar-Apr;51(2):218-21. doi: 10.1053/j.jfas.2011.10.027. Epub 2011 Dec 3.
Osteochondral defects of the talus are a challenging subject facing foot and ankle surgeons. The available treatment options have relatively good subjective outcomes; however, they are limited by the ability to reproduce hyaline cartilage, the need for multiple surgeries, and high morbidity. We present a new technique using DeNovo NT(®) juvenile allograft cartilage implantation introduced into a talar lesion arthroscopically in a single procedure to repair a posteriomedial talar osteochondral defects in a healthy, active 30-year-old female. The patient tolerated the procedure well. At the 6-month follow-up visit, the patient had returned to full activity, and at 24 months, she remained completely pain free.
距骨骨软骨损伤是足踝外科医生面临的一个具有挑战性的课题。现有的治疗选择具有相对良好的主观疗效;然而,它们受到以下因素的限制:难以再生透明软骨、需要多次手术以及高发病率。我们介绍一种新技术,即将DeNovo NT®青少年同种异体软骨移植通过关节镜单次手术植入距骨病变部位,用于修复一名30岁健康、活跃女性的后内侧距骨骨软骨损伤。患者对该手术耐受性良好。在6个月的随访中,患者已恢复完全活动,在24个月时,她仍完全无痛。