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| retrospective clinical observation on repair of osteochondral lesions of talus with non-weight bearing area osteochondral columns from patellofemoral joint surface of ipsilateral femoral condyle |
| LIU Yang JIA Jinling CUI Mingxing LIU Chang ZHAO Bin |
| The Second Ward, Department of Orthopedic Surgery, the First Affiliated Hospital of Xinxiang Medical University, He'nan Province, Xinxiang 453100, China |
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Abstract Objective To investigate the clinical effect of using autologous osteochondral transplantation with non-weight bearing area osteochondral columns which derived fromthe patellofemoral joint surfaceof ipsilateral femoral condyle for repairing osteochondral lesions of the talus (OLT). Methods From May 2014 to March 2017, in the First Affiliated Hospital of Xinxiang Medical University, 22 OLT patients were retrospectively reviewed, all patients underwent preoperative assessment of the extent of talus lesions by X-ray, CT or MRI. Then the position and area of osteochondral lesions were determined by arthroscopy in all patients, the edge of the defect area and medial malleolus osteotomy was cleared, osteochondral autograft transfer system was used to repair osteochondral lesions of the talus with non-weight bearing area osteochondral columns from the patellofemoral joint surface of ipsilateral femoral condyle. Visual analogue scale (VAS) was used to assess ankle pain preoperatively and during the last follow-up postoperatively. American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score was used to evaluate ankle function preoperativly and the last follow-up postoperatively. X-ray and MRI of ankle joint were observed to understand the recovery of osteochondral lesions area postoperatively. Results A total 21 patients received follow-up, 1 patient lost follow-up. After treatment they received follow-up for 10-20 months, the VAS reduced from (5.95±1.04) points before surgery to (1.50±0.96) points at last follow-up, the difference was statistically significant (P ＜ 0.01). The AOFAS improved from (53.28±14.93) points before surgery to (84.47±9.31) points at last follow-up, the difference was statistically significant (P ＜ 0.01). Conclusion Osteochondral autografts is effective in the treatment of OLT, it can reduce the pain of the ankle and improve the function of the ankle joint.
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