Steele John R, Dekker Travis J, Federer Andrew E, Liles Jordan L, Adams Samuel B, Easley Mark E
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
Foot Ankle Orthop. 2023 Aug 6;8(3):24730114231192961. doi: 10.1177/24730114231192961. eCollection 2023 Jul.
Osteochondral lesions of the talus (OLTs) are a difficult pathologic entity to treat. They require a strong plan. Lesion size, location, chronicity, and characteristics such as displacement and the presence of subchondral cysts help dictate the appropriate treatment required to achieve a satisfactory result. In general, operative treatment is reserved for patients with displaced OLTs or for patients who have failed nonoperative treatment for 3 to 6 months. Operative treatments can be broken down into cartilage repair, replacement, and regenerative strategies. There are many promising treatment options, and research is needed to elucidate which are superior to minimize the morbidity from OLTs.
距骨骨软骨损伤（OLTs）是一种难以治疗的病理实体。它们需要一个强有力的治疗方案。损伤的大小、位置、病程以及诸如移位和软骨下囊肿的存在等特征有助于确定为取得满意疗效所需的适当治疗方法。一般来说，手术治疗适用于移位性OLTs患者或非手术治疗3至6个月失败的患者。手术治疗可分为软骨修复、置换和再生策略。有许多有前景的治疗选择，需要开展研究以阐明哪些方法更具优势，从而将OLTs的发病率降至最低。
