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Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons · 2011

Synthetic osteochondral grafting of ankle osteochondral lesions.

СтатьяНазвание и аннотация: Перевод в очереди
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Pearce Christopher J, Gartner Louise E, Mitchell Adam, Calder James D

Аннотация

BACKGROUND: The treatment of osteochondral lesions, especially those with a cystic component or those that have failed the standard arthroscopic procedures can be challenging. Synthetic grafts have several potential advantages over other second line treatments including the fact that only one operation is required and no other joint is violated.

METHOD: We report the results of the first series of synthetic grafts used in the treatment of osteochondral lesions of the ankle with a minimum of one year follow up.

RESULTS: There was significant improvement in the American Orthopaedic Foot & Ankle Society (AOFAS) Hindfoot and Ankle Osteoarthritis Scale (AOS) scores and all patients were satisfied with the results of surgery. Magnetic Resonance Imaging (MRI) scans at one year have demonstrated resolution of the bony cysts and surrounding bone marrow oedema but, worryingly, continued to show high signal on the T2 weighted images within the plugs themselves. Qualitative T2 mapping has suggested a fibrous rather than hyaline appearance of the cartilage portions of the plugs.

CONCLUSIONS: The clinical results have been encouraging but more patients and longer follow up are required before firm conclusions can be drawn.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты