Third Year Resident, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO.
Attending Surgeon, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO.
J Foot Ankle Surg. 2020 Mar-Apr;59(2):436-439. doi: 10.1053/j.jfas.2019.09.005.
The treatment options for osteochondral lesions of the ankle are scarce, and newer modalities are becoming available. We describe a minimally invasive arthroscopic approach with implantation of juvenile particulated allograft to facilitate the growth of true hyaline cartilage in patients with osteochondral lesions of the talus. The purpose of this study was to subjectively review clinical outcomes using the validated Foot and Ankle Outcomes Score in patients who underwent this technique. Our technique was performed on 82 consecutive patients with average follow-up of 24 (range 9 to 86) months. We found that 28 (88%) of 32 patients who responded to the questionnaire had good or excellent results for activities of daily living; 26 (82%) of 32 patients had at least a good result for both pain and symptoms; and 25 (78%) of 32 had at least a fair result for functional sports and quality of life.
踝关节骨软骨病变的治疗选择有限，新的治疗方法不断涌现。我们描述了一种微创关节镜下植入幼年颗粒同种异体移植物的方法，以促进距骨骨软骨病变患者真正透明软骨的生长。本研究的目的是使用经过验证的足踝结局评分系统对接受该技术治疗的患者进行主观的临床疗效评价。我们的技术共应用于 82 例连续患者，平均随访 24 个月（范围 9 至 86 个月）。我们发现，在 32 例有回应的患者中，28 例（88%）的日常生活活动有良好或优秀的结果；26 例（82%）的患者在疼痛和症状方面至少有良好的结果；25 例（78%）的患者在功能运动和生活质量方面至少有较好的结果。
