Bustos Francis, Ferkel Richard
Southern California Orthopedic Institute, Van Nuys, California, USA.
Video J Sports Med. 2025 Jun 5;5(3):26350254241310255. doi: 10.1177/26350254241310255. eCollection 2025 May-Jun.
Osteochondral lesions of the tibia plafond (OLTPs) are an uncommon problem that can generate pain.
Arthroscopic techniques can provide symptomatic relief and improved outcomes when conservative management has failed.
We present our arthroscopic technique for managing osteochondral lesions of the distal tibia with subchondral cyst formation. By addressing the lesion with bone marrow aspirate concentrate mixed with micronized cartilage matrix and sealing with fibrin glue, we achieve stable restoration of the osteochondral lesion in a competitive athlete.
This operative intervention has been shown in clinical series to improve American Orthopaedic Foot & Ankle Society ankle-hindfoot scores postoperatively.
DISCUSSION/CONCLUSION: This restorative procedure for OLTP cystic defects has been shown to produce good to excellent results and is a viable, minimally invasive option in the competitive athlete.
The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
胫骨平台骨软骨损伤（OLTPs）是一种可引起疼痛的罕见问题。
当保守治疗失败时，关节镜技术可缓解症状并改善预后。
我们介绍了用于处理伴有软骨下囊肿形成的胫骨远端骨软骨损伤的关节镜技术。通过将骨髓抽吸浓缩物与微粉化软骨基质混合处理损伤部位并用纤维蛋白胶封闭，我们在一名竞技运动员身上实现了骨软骨损伤的稳定修复。
临床系列研究表明，这种手术干预可提高术后美国矫形足踝协会的踝 - 后足评分。
讨论/结论：这种针对OLTP囊性缺损的修复手术已被证明能产生良好至优异的效果，并且是竞技运动员可行的微创选择。
作者证明已获得本出版物中出现的任何患者的同意。如果个体可被识别，作者已随本投稿发表包含患者的豁免声明或其他书面批准形式。
