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自体骨软骨移植(镶嵌植骨术)治疗距骨骨软骨损伤患者。

Osteochondral autograft transfer (mosaicplasty) for treatment of patients with osteochondral lesions of talus.

作者信息

Sabaghzadeh Amir, Mirzaee Fateme, Shahriari Rad Heydar, Bahramian Fateme, Alidousti Ardeshir, Aslani Hamidreza

机构信息

Sport Medicine and Knee Research Center, Milad Hospital, Tehran, Iran.

Islamic Azad University of Medical Sciences, Qeshm, Iran.

出版信息

Chin J Traumatol. 2020 Feb;23(1):60-62. doi: 10.1016/j.cjtee.2019.12.001. Epub 2019 Dec 24.

Abstract

PURPOSE

Osteochondral lesion of talus (OLT) is one of the common causes of ankle pain. This disorder is common in young athletes after ankle injury. There are various therapeutic options. One of the options is mosaic plasticizer. The purpose of this study was to investigate the effect of mosaicplasty on improvement of symptoms of patients with osteochondral lesions of talus.

METHODS

Nineteen patients with osteochondral lesions of talus participated in this study, who were treated with mosaicplasty. Before and after treatment, pain (visual analogue scale), function (American Orthopaedic Foot and Ankle Society), range of motion and radiographic signs were evaluated.

RESULTS

The results of this study showed that mosaicplasty could significantly reduce pain, increase function and improve radiographic symptoms. The range of motion increased after treatment, which was not significant.

CONCLUSION

We can confirm the effect of mosaicplasty on the improvement of patients with osteochondral lesions of the ankle, suggesting it as a treatment option.

摘要

目的

距骨骨软骨损伤(OLT)是踝关节疼痛的常见原因之一。这种疾病在年轻运动员踝关节受伤后很常见。有多种治疗选择。其中一种选择是镶嵌植骨术。本研究的目的是调查镶嵌植骨术对距骨骨软骨损伤患者症状改善的效果。

方法

19例距骨骨软骨损伤患者参与本研究,接受了镶嵌植骨术治疗。治疗前后,对疼痛(视觉模拟评分)、功能(美国矫形足踝协会评分)、活动范围和影像学表现进行了评估。

结果

本研究结果表明,镶嵌植骨术可显著减轻疼痛、增加功能并改善影像学症状。治疗后活动范围有所增加,但不显著。

结论

我们可以证实镶嵌植骨术对踝关节骨软骨损伤患者的改善效果,建议将其作为一种治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/331d/7049595/0be923ac1138/gr1.jpg

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