دورية أكاديمية
Outcomes Following Repeat Ankle Arthroscopy and Microfracture for Osteochondral Lesions of the Talus.
| العنوان: | Outcomes Following Repeat Ankle Arthroscopy and Microfracture for Osteochondral Lesions of the Talus. |
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| المؤلفون: | Schafer KA; Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri., Cusworth BM; Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri., Kazarian GS; Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri., Backus JD; Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri., Klein SE; Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri., Johnson JE; Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri., McCormick JJ; Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri. |
| المصدر: | Foot & ankle specialist [Foot Ankle Spec] 2024 Jun; Vol. 17 (3), pp. 216-223. Date of Electronic Publication: 2022 Mar 06. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 101473598 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-7636 (Electronic) Linking ISSN: 19386400 NLM ISO Abbreviation: Foot Ankle Spec Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Thousand Oaks, CA : Sage Publications |
| مواضيع طبية MeSH: | Talus*/surgery , Talus*/injuries , Arthroscopy*/methods , Reoperation*/methods , Arthroplasty, Subchondral*/methods , Patient Satisfaction*, Humans ; Male ; Female ; Adult ; Middle Aged ; Retrospective Studies ; Treatment Outcome ; Ankle Joint/surgery ; Cartilage, Articular/surgery ; Cartilage, Articular/injuries ; Pain Measurement ; Young Adult |
| مستخلص: | Background: The management of symptomatic osteochondral lesions of the talus (OLTs) previously treated with arthroscopy is controversial. Minimal data exist on the role for repeat arthroscopy. Here, we describe our experience with repeat arthroscopy and microfracture for symptomatic OLTs. Methods: Our database was queried over an 8-year period to identify patients undergoing repeat arthroscopy and microfracture as treatment for symptomatic OLTs. Phone surveys were conducted to assess residual pain, patient satisfaction, and need for subsequent surgery. We compared patient outcomes based on the size of their OLT (small lesions ≤150 mm 2 , large >150 mm 2 ) and the presence or absence of subchondral cysts. Results: We identified 14 patients who underwent repeat arthroscopy and microfracture for symptomatic OLTs. Patients reported reasonable satisfaction (7.6 ± 3.5 out of 10) but moderate residual pain (4.7 ± 3.4 out of 10) at midterm follow-up (5.1 ± 2.9 years). In total, 21% (3/14) of patients had undergone subsequent surgery. Patients with small (n = 5) and large OLTs (n = 9) had similar postoperative pain scores (4.2 ± 4.1 vs 4.9 ± 3.2) and postoperative satisfaction levels (6.4 ± 4.9 vs 8.3 ± 2.5). Conclusion: At midterm follow-up, repeat arthroscopy for symptomatic OLTs demonstrated reasonable satisfaction but moderate residual pain. Lesion size or presence of subchondral cysts did not affect outcome, but our sample size was likely too small to detect statistically significant differences. These data show that repeat ankle arthroscopy can be performed safely with modest outcomes, and we hope that this report aids in managing patient expectations. Level of Evidence: Level IV Case Series . Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Author JDB is helping to develop an arthroscopic microfracture device with Marrow Access Technologies. None of the patients in this study were treated with said device and it is not yet on the market. |
| فهرسة مساهمة: | Keywords: ankle injuries; arthritis and joint disease; complex foot and ankle conditions; foot surgery techniques; sports injuries |
| تواريخ الأحداث: | Date Created: 20220307 Date Completed: 20240624 Latest Revision: 20240624 |
| رمز التحديث: | 20240624 |
| DOI: | 10.1177/19386400221079203 |
| PMID: | 35249397 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1938-7636 |
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| DOI: | 10.1177/19386400221079203 |