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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia Del Piede 2000 June;24(2):107-16

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Osteochondral lesions of the talus: arthroscopic treatment in young athletes

Gobbi A., Santamaria S., Diara A.


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Background. Osteochondral lesions of the talar dome are a diagnostic and therapeutic problem still discussed today. Various classifications and different surgical options have been proposed. Aim of this study is to evaluate the effectiveness of the microfracture technique to treat osteochondral lesions of the talus in young athletes.
Methods. From 1993 to 1996 we treated 10 ankles in 9 athletes affected by a chronic osteochondral lesion of the talus. Average age was 24; 6 patients had a previous trauma. All the patients had arthroscopic debridement and chondroplasty with perforations or microfractures. All data recorded were retrospectively analyzed and the patients were reevaluated two years after surgery with subjective and objective examination, X-Ray, CT or MRI, Loomer evaluation form and functional tests.
Results. 70% of these patients showed excellent or good results, 1 patient resulted fair and we had 1 poor result (bilateral lesion).
Conclusions. We suggest arthroscopic treatment of osteochondral lesions of the talus when it is possible, because of reduction of surgical trauma and morbidity, early hospital discharging and high percentage of good results.

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