Department of Orthopedic Sports Medicine, Klinikum rechts der Isar, Technische Universitaet Muenchen, Munich, Germany.
Am J Sports Med. 2012 Apr;40(4):870-4. doi: 10.1177/0363546511435084. Epub 2012 Jan 20.
There are limited data regarding activity after osteochondral transplantation of the talus in orthopaedic publications.
Osteochondral transplantation of the talus is a clinically successful treatment and enables patients to pursue regular and ongoing recreational sporting activities.
Case series; Level of evidence, 4.
One hundred thirty-one patients were retrospectively analyzed to determine their sporting and recreational activities at an average of 60 ± 28.4 months postoperatively (range, 24-141 months). The clinical evaluation included the Tegner activity scale, the Activity Rating Scale (ARS), and a visual analog scale (VAS) for pain.
The VAS illustrated significant preoperative to postoperative improvements (6.3 to 2.7; P < .001). Regarding sporting activity, 96.9% of the patients were engaged in sports during their lifetimes compared with 83.8% the year before surgery and 89.3% at the time of survey. The Tegner score dropped from 5.9 preoperatively to 5.0 after surgery (P = .001), and the ARS decreased from 8.9 preoperatively to 6.8 postoperatively (P = .003). The sports frequency and the duration of activities did not significantly change after surgery: 1.7 ± 2.0 (range, 0-8; P = .053) and 4.2 ± 3.8 hours (range, 0-30 hours; P = .052), respectively. The number of actual reported different sports disciplines was unchanged in comparison to the year before surgery (3.7 ± 2.9; range, 0-12). The top 10 cited sports activities did not change for the lifetime, preoperative, and postoperative periods but illustrated an altered order. Although the overall satisfaction with the surgery was good, 15% of our patients were only partially satisfied, and 14% were not satisfied with the procedure.
Patients engage in fewer, less frequent sporting activities when a symptomatic osteochondral lesion (OCL) at the talus is present. Talar osteochondral transplantation shows good clinical midterm results and allows patients to return to sporting activity. However, we found patients modify their postoperative sporting activities, and we noted a reduction of participation in high-impact and contact sports.
在骨科出版物中，有关距骨骨软骨移植后活动的资料有限。
距骨骨软骨移植是一种临床成功的治疗方法，使患者能够进行常规和持续的娱乐性体育活动。
病例系列；证据水平，4 级。
对 131 例患者进行回顾性分析，以确定他们在平均 60±28.4 个月（范围，24-141 个月）后的运动和娱乐活动。临床评估包括 Tegner 活动量表、活动评分量表（ARS）和疼痛视觉模拟量表（VAS）。
VAS 显示术前到术后有显著改善（6.3 至 2.7；P<.001）。关于运动活动，96.9%的患者在其一生中从事体育运动，而手术前一年为 83.8%，调查时为 89.3%。术前 Tegner 评分为 5.9，术后为 5.0（P=.001），ARS 从术前的 8.9 降至术后的 6.8（P=.003）。术后运动频率和活动时间没有明显变化：分别为 1.7±2.0（范围，0-8；P=.053）和 4.2±3.8 小时（范围，0-30 小时；P=.052）。与术前一年相比，实际报告的不同运动项目的数量没有变化（3.7±2.9；范围，0-12）。一生中、术前和术后最常被引用的 10 项运动项目没有改变，但顺序发生了变化。虽然手术总体满意度良好，但 15%的患者仅部分满意，14%的患者对手术不满意。
当距骨存在症状性骨软骨病变（OCL）时，患者会减少参与运动的次数和频率。距骨骨软骨移植具有良好的临床中期结果，可使患者恢复运动能力。然而，我们发现患者会改变他们术后的运动活动，并且我们注意到参与高冲击和接触性运动的人数减少。
