Buda Roberto, Pagliazzi Gherardo, Castagnini Francesco, Cavallo Marco, Giannini Sandro
I Clinic, Rizzoli Orthopaedic Institute, University of Bologna, Bologna, Italy.
I Clinic, Rizzoli Orthopaedic Institute, University of Bologna, Bologna, Italy
Foot Ankle Spec. 2016 Jun;9(3):265-70. doi: 10.1177/1938640016640889. Epub 2016 Apr 4.
Juvenile osteochondritis dissecans of the talus (JOCDT) is a subchondral bone alteration and a partially or completely detached osteochondral fragment, affecting skeletally immature patients. A review of the English literature on PubMed was conducted. Conservative treatment was applied in patients up to Berndt-Harty stage III. Surgical indications were conservative management failure and loose bodies. The most performed procedures were drilling, subchondral bone grafting, fragment fixation, or excision. High rate of clinical success were achieved, whereas radiographic results were much lower. None of the surgical options demonstrated to be superior. Future long-term qualitative studies focusing on chondral tissue restoration are needed.
Therapeutic, Level IV.
距骨青少年骨软骨炎（JOCDT）是一种软骨下骨改变以及部分或完全分离的骨软骨碎片，影响骨骼未成熟的患者。对PubMed上的英文文献进行了综述。对于处于Berndt-Harty III期及以下的患者采用保守治疗。手术指征为保守治疗失败和存在游离体。最常实施的手术操作是钻孔、软骨下骨移植、碎片固定或切除。临床成功率较高，而影像学结果则低得多。没有一种手术方式显示出优越性。未来需要针对软骨组织修复的长期定性研究。
治疗性，IV级。
