Adams Samuel B, Demetracopoulos Constantine A, Parekh Selene G, Easley Mark E, Robbins Justin
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, U.S.A.
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.
Arthrosc Tech. 2014 Aug 25;3(4):e533-7. doi: 10.1016/j.eats.2014.06.004. eCollection 2014 Aug.
Several options exist for the treatment of osteochondral lesions of the talus. Particulated juvenile cartilage allograft transplantation (PJCAT) has become a viable treatment modality for osteochondral lesions of the talus that are not amenable to microfracture or for which microfracture has failed. Arthroscopic placement of this type of graft obviates the need for osteotomy or plafondplasty and does not prevent additional procedures from being performed through an anterior approach. Special instrumentation and setup are not required to perform this procedure. Our arthroscopic technique for placement of particulated juvenile cartilage into osteochondral lesions of the talus is described. Case series and outcomes after arthroscopic ankle PJCAT are currently not reported within the literature; however, it is believed that the outcomes are at least similar to those of open ankle PJCAT.
距骨骨软骨损伤有多种治疗选择。颗粒状青少年软骨同种异体移植（PJCAT）已成为一种可行的治疗方式，用于治疗不适合微骨折或微骨折失败的距骨骨软骨损伤。通过关节镜放置这种类型的移植物避免了截骨术或关节面成形术的需要，并且不影响通过前方入路进行其他手术。进行此手术不需要特殊的器械和设置。本文描述了我们通过关节镜将颗粒状青少年软骨放置到距骨骨软骨损伤处的技术。目前文献中尚未报道关节镜下踝关节PJCAT的病例系列和治疗结果；然而，人们认为其结果至少与开放性踝关节PJCAT相似。
