Department of Orthopaedics, ZNA Middelheim, Lindendreef 12020 Antwerp, Belgium; Department of Orthopaedics, University Hospital Brussels, Laarbeeklaan 101, 1090 Jette, Belgium.
Department of Orthopaedics, ZNA Middelheim, Lindendreef 12020 Antwerp, Belgium.
Foot Ankle Clin. 2024 Jun;29(2):321-331. doi: 10.1016/j.fcl.2023.07.005. Epub 2023 Aug 26.
The majority of patients with an osteochondral lesion of the talus (OLT) report a history of trauma. Therefore, it is important to assess for concomitant ankle instability when dealing with patients with a symptomatic OLT. The History; Alignment; Ligaments; Others "(HALO)" approach can be a helpful tool in the evaluation of patients with an OLT. If conservative treatment fails, surgery may be indicated. Although there is a lack of comparative studies investigating the effect of stabilization procedures on cartilage repair, we believe that addressing instability is a key factor in improving patient outcome.
大多数距骨骨软骨损伤(OLT)患者都有外伤史。因此,在处理有症状的 OLT 患者时,评估是否同时存在踝关节不稳定非常重要。“病史;对线;韧带;其他因素(HALO)”评估方法可作为评估 OLT 患者的有用工具。如果保守治疗失败,可能需要手术。尽管缺乏比较研究来调查稳定程序对软骨修复的影响,但我们认为解决不稳定是改善患者预后的关键因素。