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学科主题: 临床医学
题名:
Arthroscopic treatment for osteochondral lesions of the talus: analysis of outcome predictors
作者: Guo Qin-wei; Hu Yue-lin; Jiao Chen; Yu Chang-long; Ao Ying-fang
关键词: osteochondral lesion ; talus ; arthroscopy
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2010-02-05
DOI: 10.3760/cma.j.issn.0366-6999.2010.03.008
卷: 123, 期:3, 页:296-300
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: AUTOLOGOUS CHONDROCYTE TRANSPLANTATION ; FOLLOW-UP ; CARTILAGE DEFECTS ; DISSECANS ; MICROFRACTURE ; ANKLE ; KNEE
英文摘要:

Background Compared with traditional arthrotomy procedures, arthroscopic treatment for osteochondral lesions of the talus has some advantages. However, there has been considerable debate about the outcome predictors for this surgical technique. This study aimed to investigate the outcomes of arthroscopic treatment for osteochondral lesions of the talus, and analyze its outcome predictors.

Methods Clinical data of 48 patients with osteochondral lesions of the talus who underwent ankle arthroscopy were studied. Arthroscopic debridement was performed on all patients, and microfracture was also performed in 36 cases. Scores on a subjective satisfaction questionnaire, visual analog scale (VAS) for pain, and the American Orthopedic Foot & Ankle Society (AOFAS) ankle and hindfoot scores were obtained before and after surgery.

Results Five patients lost to follow up. The other forty-three patients, 8 of whom were athletes, were followed up for an average of 23.9 months. The average AOFAS post-operative score was 90.16+/-9.96, compared with 70.81+/-6.96 before surgery (t=9.353, P<0.001). The VAS pain score after the operation (2.51+/-2.45) was significantly lower than that before the operation (6.95+/-1.40) (t=8.647, P<0.001). Of the 43 patients, 35 (81.4%) had good or excellent results. There was no significant difference in outcome between the medial and lateral groups (z=0.205, P=0.838), while a better outcome was found with lesions smaller than 10 mm than those with larger lesions (z=2.199, P=0.028). Age, sex, athletic profession and location of the lesion did not significantly correlate with outcomes.

Conclusions Arthroscopic treatment is effective and safe for osteochondral lesions of the talus. A strong correlation was found between the size of the lesion and successful outcome. Chin Med J 2010;123(3):296-300

语种: 英语
WOS记录号: WOS:000274753400008
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/61339
Appears in Collections:北京大学第三临床医学院_运动医学研究所_期刊论文

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作者单位: Peking Univ, Hosp 3, Inst Sports Med, Beijing 100191, Peoples R China

Recommended Citation:
Guo Qin-wei,Hu Yue-lin,Jiao Chen,et al. Arthroscopic treatment for osteochondral lesions of the talus: analysis of outcome predictors[J]. CHINESE MEDICAL JOURNAL,2010,123(3):296-300.
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