O'Farrell T A, Costello B G
J Bone Joint Surg Br. 1982;64(4):494-7. doi: 10.1302/0301-620X.64B4.7096430.
Thirty-five cases of osteochondritis dissecans of the talus, operated on between 1950 and 1978, were studied. Twenty-four were available for follow-up an average of 47 months later. Three standard surgical approaches were used, and the osteochondritic fragment removed. In some cases the base of the defect was drilled. Good results were obtained in 15 patients, and fair in nine. There were no poor results. It was concluded that the defect is caused by trauma; that early operation gives the best results, 12 months being the critical delay time; that drilling the base of the defect improves results; and that the sex of the patient and the location of lesion are of little significance.
对1950年至1978年间接受手术治疗的35例距骨剥脱性骨软骨炎病例进行了研究。其中24例可供随访，平均随访时间为47个月。采用了三种标准手术方法，切除了骨软骨碎片。在某些病例中，对缺损底部进行了钻孔。15例患者取得了良好效果，9例效果尚可。无效果不佳的病例。得出的结论是：缺损由创伤引起；早期手术效果最佳，关键延迟时间为12个月；对缺损底部进行钻孔可改善效果；患者性别和病变部位意义不大。
