Journal article
Surgical Treatment of Talus OCL: Mid- to Long-Term Clinical Outcome With Detailed Analyses of Return to Sport
The Journal of foot and ankle surgery, Vol.60(6), pp.1188-1192
11/01/2021
DOI: 10.1053/j.jfas.2021.05.002
PMID: 34130931
Abstract
Talus osteochondral lesions are a commonly underdiagnosed problem in young athletes. Talus osteochondral lesions surgical algorithm remains controversial. Current metrics suggest that conventional treatment of osteo-chondral lesions of the talus is promising; yet return to sport is poorly studied. Fifty-seven patients following talus osteochondral lesion surgical intervention were included in this study. About 63.1% were female with mean age 37.1 years, mean lesion size 10 pound 12.5 mm, and mean follow-up 79.9 months postoperatively. Patients were divided into 4 groups by surgery performed: antegrade arthroscopic bone marrow stimulation, retrograde arthro-scopic drilling, osteochondral autograft transfer, and allograft cartilage implantation. Outcome metrics include Visual Analog Scale for pain and function, Short Form-12, Foot and Ankle Disability Scale, Tegner, Marx activity scores, Naal Sports inventory, and patient satisfaction. Over 77% of patients were satisfied with surgical interven-tion. Each intervention significantly decreased pain and increased function, except retrograde drilling. All inter-ventions trended toward decreased Tegner score; only antegrade drilling showed significant decrease. Based on Naal's sports inventory, 85.7% of surgically treated patients reported participating in sport activities, on average 3 times/week and 50.6 minutes/session. Traditionally, talus osteochondral lesions present a difficult problem that is marred by unsatisfactory nonoperative outcomes in typically active patients. As our surgical understanding has evolved, we've continued to improve on outcomes. Our patients demonstrated 77.2% overall satisfaction rate, a statistically significant improvement in pain and function, atan average follow-up of 79.9 months postoperatively, and a high rate of return to sport with little difference between surgical interventions. Published by Elsevier Inc. on behalf of the American College of Foot and Ankle Surgeons.
Details
- Title: Subtitle
- Surgical Treatment of Talus OCL: Mid- to Long-Term Clinical Outcome With Detailed Analyses of Return to Sport
- Creators
- Andrew M. Schwartz - Emory UniversityShuo Niu - Emory UniversityFaris A. Mirza - Augusta UniversityAshley R. Thomas - Emory UniversitySameh A. Labib - Emory University
- Resource Type
- Journal article
- Publication Details
- The Journal of foot and ankle surgery, Vol.60(6), pp.1188-1192
- Publisher
- Elsevier
- DOI
- 10.1053/j.jfas.2021.05.002
- PMID
- 34130931
- ISSN
- 1067-2516
- eISSN
- 1542-2224
- Number of pages
- 5
- Language
- English
- Date published
- 11/01/2021
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984303983002771
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