New York University Langone Health, New York, New York, USA.
Imperial College London, London, UK.
Bone Joint J. 2021 Feb;103-B(2):207-212. doi: 10.1302/0301-620X.103B2.BJJ-2020-1167.R1.
The management of symptomatic osteochondral lesions of the talus (OLTs) can be challenging. The number of ways of treating these lesions has increased considerably during the last decade, with published studies often providing conflicting, low-level evidence. This paper aims to present an up-to-date concise overview of the best evidence for the surgical treatment of OLTs. Management options are reviewed based on the size of the lesion and include bone marrow stimulation, bone grafting options, drilling techniques, biological preparations, and resurfacing. Although many of these techniques have shown promising results, there remains little high level evidence, and further large scale prospective studies and systematic reviews will be required to identify the optimal form of treatment for these lesions. Cite this article: 2021;103-B(2):207-212.
距骨症状性骨软骨病变（OLTs）的治疗颇具挑战性。在过去十年中，治疗这些病变的方法层出不穷，相关研究发表的证据水平往往较低且相互矛盾。本文旨在提供最新的、简明的 OLT 手术治疗最佳证据概述。根据病变大小，对各种治疗方案（包括骨髓刺激、植骨选择、钻孔技术、生物制剂和表面置换）进行了回顾。尽管这些技术中的许多方法都显示出了良好的效果，但仍然缺乏高级别证据，需要进一步开展大规模前瞻性研究和系统评价，以确定这些病变的最佳治疗形式。 引用本文：2021;103-B(2):207-212.
