Desai Sarang
OrthoTexas, Plano, TX.
J Foot Ankle Surg. 2016 Mar-Apr;55(2):279-82. doi: 10.1053/j.jfas.2014.07.011. Epub 2014 Sep 8.
Although talar dome osteochondral lesions (OCLs) are common injuries, OCLs of the tibial plafond are relatively infrequent. These lesions have historically been managed in a similar manner to talar OCLs, with most treated with debridement and marrow stimulation. This treatment has had mixed results. The present case report describes a patient who underwent an all-arthroscopic surgical technique consisting of debridement and marrow stimulation with application of micronized allograft cartilage matrix (BioCartilage(™), Arthrex, Naples, FL).
尽管距骨穹窿部骨软骨损伤(OCLs)是常见损伤,但胫骨平台的OCLs相对少见。从历史上看,这些损伤的处理方式与距骨OCLs相似,大多数采用清创和骨髓刺激治疗。这种治疗效果不一。本病例报告描述了一名患者,该患者接受了一种全关节镜手术技术,包括清创、骨髓刺激以及应用微粉化同种异体软骨基质(BioCartilage™,Arthrex,那不勒斯,佛罗里达州)。