Osteochondral Autografts for Osteochondritis Dissecans of the Talus

Chian Her Lee, Kuo Hua Chao, Guo Shu Huang, Shing Sheng Wu

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61 Citations (Scopus)

Abstract

Eighteen symptomatic advanced-stage osteochondritis dissecans (OCD) of the talus (Berndt and Harty stages III 7 and IV 11) in 17 patients were treated with multiple autogenous osteochondral cylindrical grafts. The mean time of follow-up was 36 months (range, 25-49). The average age at surgery was 22.7 years (range, 19-34). The mean size of defect of OCD was 13.6 mm × 7.2 mm. Two or three osteochondral grafts (6 or 7 mm in diameter and 15-20 mm in length) were harvested from the superomedial margin of the ipsilateral knee. A partial osteotomy of the medial malleolus or osteotomy of the distal lateral tibia was performed for all cases. Being evaluated by the Freiburg ankle score, 16 of 18 ankles (88.8%) had excellent and two (11.8%) had good results. "Second-look" arthroscopy of 16 ankles revealed consistency of the osteochondral grafts and congruity between grafts and native cartilage in 14 (87.5%), and a softening or fissuring of the osteochondral graft in two. Our results showed that this procedure provided an effective treatment for a symptomatic advanced-stage OCD of the talus.

Original languageEnglish
Pages (from-to)815-822
Number of pages8
JournalFoot and Ankle International
Volume24
Issue number11
Publication statusPublished - Nov 2003
Externally publishedYes

Keywords

  • Osteochondral Autograft
  • Osteochondritis Dissecans

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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    Lee, C. H., Chao, K. H., Huang, G. S., & Wu, S. S. (2003). Osteochondral Autografts for Osteochondritis Dissecans of the Talus. Foot and Ankle International, 24(11), 815-822.