Cunningham Daniel J, Adams Samuel B
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, U.S.A.
Arthrosc Tech. 2020 Apr 10;9(5):e627-e637. doi: 10.1016/j.eats.2020.01.012. eCollection 2020 May.
Osteochondral lesions of the talus (OLTs) are difficult to treat. Arthroscopic microfracture augmented with micronized cartilage (BioCartilage; Arthrex, Naples, FL) and platelet-rich plasma is emerging as a treatment for moderate-sized, well-contained full-thickness OLTs. This treatment may provide superior histologic results and is less technically demanding and yields less morbidity than an open osteochondral allograft or autograft transfer. This technique guide presents the senior author's preferred strategy for treatment of a moderate-sized OLT with arthroscopic microfracture and placement of micronized cartilage and platelet-rich plasma.
距骨骨软骨损伤（OLTs）难以治疗。关节镜下微骨折联合微粉化软骨（BioCartilage；Arthrex，那不勒斯，佛罗里达州）和富血小板血浆正逐渐成为治疗中等大小、边界清晰的全层OLTs的一种方法。与开放性骨软骨异体移植或自体移植相比，这种治疗可能会提供更好的组织学结果，技术要求较低，且发病率较低。本技术指南介绍了资深作者治疗中等大小OLTs的首选策略，即关节镜下微骨折以及微粉化软骨和富血小板血浆的植入。
