Abstract
Purpose of study: To search and analyse the results of autologous osteochondral transplantation on patients with osteochondritis dissecans of the talus.
Material and method: From 1997 until 2000, 10 patients with 3dr to 4th degree osteochonditis dissecans of the taus were treated with autologous osteochondral transplantation. Their average: age was 33,7 years, and follow up time:32,4 months. Clinical evaluation in accordance with the Finsen classification system as well as radiological evaluation was conducted.
Afterwards arthroscopy with transplantation of autologous osteochondral grafts was performed. An osteomy of the medial malleolus was necessary by 4 patients. Non weight bearing and continuous passive motion for 6 weeks was advised.
Results: The average Finsen score showed improvement: From 3,6 preoperatively to 1 (excellent) postoperatively. Full coverage of the defects was observed at 12 month follow up with MRI in 9 patients and arthoscopically in 3 patients.
Conclusion: This method of treatment presents very good clinical results and sends a hopefull message on the prognosis of the ankle joint in cases of osteochondral damage.
The abstracts were prepared by Eleni Koutsoukou. Correspondence should be addressed to him at the Hellenic Association of Orthopaedic Surgery and Traumatology (HAOST), 20, A. Fleming str, 15123 Marousi, Athens, Greece.
