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距骨骨软骨损伤治疗失败的处理

Management of Treatment Failures in Osteochondral Lesions of the Talus.

作者信息

Hunt Kenneth J, Ebben Benjamin J

机构信息

Department of Orthopaedic Surgery, University of Colorado School of Medicine, 12631 East 17th Ave, Room 4508, Aurora, CO 80045, USA.

Department of Orthopaedic Surgery, University of Colorado School of Medicine, 12631 East 17th Ave, Room 4508, Aurora, CO 80045, USA.

出版信息

Foot Ankle Clin. 2022 Jun;27(2):385-399. doi: 10.1016/j.fcl.2021.12.002. Epub 2022 May 11.

DOI:10.1016/j.fcl.2021.12.002
PMID:35680295
Abstract

Osteochondral lesions of the talus are a common result of traumatic ankle injury. Due to the low success rates of nonoperative management, surgical management of osteochondral lesions of the talus (OLTs) has evolved considerably over the past decade as more outcomes research has emerged, new techniques have been described, and we have developed a better understanding of the role of biologics in the treatment algorithm. We describe, in sequence, the surgical management options, including salvage procedures, for failed treatment of OLTs.

摘要

距骨骨软骨损伤是踝关节创伤的常见后果。由于非手术治疗成功率较低,在过去十年中,随着更多疗效研究的出现、新技术的描述以及我们对生物制剂在治疗方案中作用的更好理解,距骨骨软骨损伤(OLTs)的手术治疗有了很大进展。我们依次描述了OLTs治疗失败后的手术治疗选择,包括挽救手术。

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