Wan Yue Ting Ophelia, Lui Tun Hing
Department of Orthopaedics and Traumatology, Princess Margaret Hospital, Hong Kong, China.
Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China.
Arthrosc Tech. 2019 Sep 11;8(9):e969-e973. doi: 10.1016/j.eats.2019.05.006. eCollection 2019 Sep.
Osteochondral lesions of the talar head can be classified into 4 types according to their location. A type 1 lesion is located at the anterior part of the talar head. Surgical debridement and microfracture are indicated for symptomatic type 1 lesions if conservative treatment fails to relieve the pain. The purpose of this technical note was to describe the details of arthroscopic debridement and microfracture of the symptomatic type 1 osteochondral lesion of the talar head and the kissing lesion at the navicular bone. The procedure is performed through the standard portals of talonavicular arthroscopy and has the advantages of minimally invasive surgery of better cosmetic results and less surgical trauma.
距骨头骨软骨损伤可根据其位置分为4种类型。1型损伤位于距骨头前部。如果保守治疗无法缓解疼痛，对于有症状的1型损伤，建议进行手术清创和微骨折术。本技术说明的目的是描述有症状的距骨头1型骨软骨损伤及舟骨对应损伤的关节镜清创和微骨折术的详细情况。该手术通过距舟关节镜的标准入路进行，具有微创手术的优点，美容效果更好，手术创伤更小。
