Posteromedial Approach for Osteochondral Lesions of the Talus

TOSUN B.

FOOT & ANKLE INTERNATIONAL, cilt.42, sa.1, ss.17-22, 2021 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 42 Sayı: 1
  • Basım Tarihi: 2021
  • Doi Numarası: 10.1177/1071100720948842
  • Dergi Adı: FOOT & ANKLE INTERNATIONAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, SportDiscus
  • Sayfa Sayıları: ss.17-22
  • Anahtar Kelimeler: ankle, talus, osteochondral, malleolar osteotomy, mosaicplasty, TALAR DOME, TRANSCHONDRAL FRACTURES, TREATMENT STRATEGIES, DISSECANS, ALLOGRAFTS, OSTEOTOMY, EXPOSURE, DEFECTS
  • Kocaeli Üniversitesi Adresli: Evet

Özet

Background: Medial malleolar osteotomy is an established procedure for accessing the medial localized osteochondral lesions of the talus. The purpose of this study was to describe a single approach, which allows perpendicular access to the lesion without a malleolar osteotomy. Methods: Six patients were treated surgically for medial localized talar osteochondral lesions. Four patients had stage III and 2 patients had stage IV lesions. A single posteromedial approach was used for accessing the medial talar dome. Results: The method of treatment was mosaicplasty in 4 patients and osteochondral fragment fixation in 2 patients. One patient who was treated with a fragment fixation procedure showed screw loosening. Incorporation of the osteochondral grafts was proved by magnetic resonance imaging in all mosaicplasty cases. Conclusion: A single posteromedial approach was sufficient in the posteromedial localized osteochondral lesion of the talus. As the lesion was approached by soft tissue exposure only, a malleolar osteotomy was not required. Thus, osteotomy-related complications were avoided.