Bruns J
Orthopädische Universitätsklinik Hamburg.
Unfallchirurg. 1993 Feb;96(2):75-81.
Surgical treatment with arthrotomic revision, removal of the subchondral sclerosis, and autologous bone transplantation with restoration of the cartilage layer resulted in good results in nearly 70%. This could be demonstrated in a follow-up examination in 26 of 38 surgically treated patients. The outcome is dependent on the patient's age at the onset of symptoms and the stage of the cartilage lesions. In adolescents, the results are better than in adults and better in cases without or with only mild cartilage lesions. The most important etiological factors seem to be biomechanical factors such as a sprained ankle--even without ligament ruptures. Osteoarthritis of the ankle joint is not a common sequela, and it occurs in only mild degrees in adult patients.
采用关节切开翻修术、去除软骨下硬化以及自体骨移植并恢复软骨层的手术治疗，在近70%的病例中取得了良好效果。这在38例接受手术治疗患者中的26例随访检查中得到了证实。结果取决于患者出现症状时的年龄以及软骨损伤的阶段。在青少年中，结果优于成年人，在无软骨损伤或仅有轻度软骨损伤的病例中效果更好。最重要的病因似乎是生物力学因素，如脚踝扭伤——即使没有韧带断裂。踝关节骨关节炎并非常见的后遗症，仅在成年患者中轻度发生。
