Retrograde drilling of osteochondral lesions of the medial talar dome
Retrograde drilling of osteochondral lesions of the medial talar dome
复制标题
DOI：
10.1177/107110079902000802
复制
发表时间：
1999-08-01
影响因子：
2.7
通讯作者：
Conti, SF
中科院分区：
文献类型：
--
作者：
Taranow, WS;Bisignani, GA;Conti, SF
对16例（16个踝关节）内侧距骨圆顶有症状性骨软骨病病变的患者进行了关节镜下经跗窦经皮逆行钻孔治疗。与传统方法相比，手术技术可以保留完整的关节软骨。所有在24个月期间接受该技术治疗的患者均纳入研究，患者年龄范围为16至44岁随访19 ~ 38个月术前采用基于磁共振成像检查的分期系统对病变进行分级，结果采用美国足踝矫形协会踝关节-后足量表进行评价。术前评分35 ~ 75分，平均53.9分;术后美国足踝矫形协会评分48 ~ 100分，平均82.6分。平均改善25分。无手术并发症。短期结果与其他可用技术报告的结果相当。
Sixteen patients (16 ankles) with symptomatic osteochondral lesions of the medial talar dome were treated arthroscopically with percutaneous retrograde drilling through the sinus tarsi. The surgical technique allows preservation of intact articular cartilage, in contrast to traditional methods. All patients treated with this technique during a 24-month period were included in the study, Patient age ranged from 16 to 44 years (mean, 33 years), Follow-up ranged from 19 to 38 months (mean, 24 months), A staging system based on magnetic resonance imaging examination was used to grade the lesions preoperatively, Outcome was evaluated using the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale. Preoperative scores ranged from 35 to 75 points, with a mean of 53.9 points, Postoperative American Orthopaedic Foot and Ankle Society scores ranged from 48 to 100 points, with a mean of 82.6 points. Mean improvement was 25 points. There were no surgical complications. Short-term results were comparable to results reported with other available techniques.