Aims. Arthroscopic microfracture is a conventional form of treatment for patients with osteochondritis of the
Objective. The main object of this study was to use a geometric morphometric
approach to quantify the left-right symmetry of
Aims. The hypothesis of this study was that bone peg fixation in the treatment of osteochondral lesions of the
The April 2024 Foot & Ankle Roundup. 360. looks at: Safety of arthroscopy combined with radial extracorporeal shockwave therapy for osteochondritis of the
Aims. The aims of this study were to evaluate the morphology of the ankle in patients with an osteochondral lesion of the
The February 2024 Trauma Roundup. 360. looks at: Posterior malleolus fractures: what about medium-sized fragments?; Acute or delayed total hip arthroplasty after acetabular fracture fixation?; Intrawound antibiotics reduce the risk of deep infections in fracture fixation; Does the VANCO trial represent real world patients?; Can a restrictive transfusion protocol be effective beyond initial resuscitation?; What risk factors result in avascular necrosis of the
Aims. Osteochondral lesions of the
The management of symptomatic osteochondral lesions of the
A new method of vascularised tibial grafting
has been developed for the treatment of avascular necrosis (AVN)
of the
Aims. The purposes of this study were to clarify first, the incidence
of peroneal tendon dislocation in patients with a fracture of the
talus and second the factors associated with peroneal tendon dislocation. Patients and Methods. We retrospectively examined 30 patients (30 ankles) with a mean
age of 37.5 years, who had undergone internal fixation for a fracture
of the
Autologous chondrocyte implantation (ACI) has been used most commonly as a treatment for cartilage defects in the knee and there are few studies of its use in other joints. We describe ten patients with an osteochondral lesion of the
We investigated the clinical and radiological outcome after unilateral fracture of the lateral process of the
Our aim in this prospective study was to determine the best diagnostic method for discriminating between patients with and without osteochondral lesions of the
Large osteochondral lesions (OCLs) of the shoulder
of the
Background:. Avascular necrosis (AVN) of the
Osteochondral lesions (OCLs) occur in up to 70%
of sprains and fractures involving the ankle. Atraumatic aetiologies have
also been described. Techniques such as microfracture, and replacement
strategies such as autologous osteochondral transplantation, or
autologous chondrocyte implantation are the major forms of surgical
treatment. Current literature suggests that microfracture is indicated
for lesions up to 15 mm in diameter, with replacement strategies
indicated for larger or cystic lesions. Short- and medium-term results
have been reported, where concerns over potential deterioration
of fibrocartilage leads to a need for long-term evaluation. . Biological augmentation may also be used in the treatment of
OCLs, as they potentially enhance the biological environment for
a natural healing response. Further research is required to establish
the critical size of defect, beyond which replacement strategies
should be used, as well as the most appropriate use of biological augmentation.
This paper reviews the current evidence for surgical management
and use of biological adjuncts for treatment of osteochondral lesions
of the
Aims. This retrospective cohort study compared the results of vascularised
and non-vascularised anterior sliding tibial grafts for the treatment
of osteoarthritis (OA)of the ankle secondary to osteonecrosis of
the
The purpose of this study was to evaluate the
clinical results of a newly designed prosthesis to replace the body
of the
We reviewed, retrospectively, 13 patients who had undergone open anterograde autologous bone grafting of the
Between 1994 and 1999, we treated six patients with avascular necrosis of the