CME OnDemand: Treatment of Osteochondral Lesions of Talus from Adolescents to Adults-References

References

Pdf Summary

This document outlines revision treatment options for failed osteochondral lesions, particularly in the context of the talus. It references several studies that explore various methods and their outcomes.<br /><br />One referenced study is by Waltenspül et al., which investigated complications following cartilage repair of the ankle using Autologous Matrix-Induced Chondrogenesis (AMIC), highlighting potential issues post-repair (Foot Ankle Orthop, 2023).<br /><br />Another study by Yontar et al. examines the functional outcomes of AMIC specifically for large osteochondral lesions of the talus, demonstrating the method's effectiveness (Foot Ankle Int, 2022).<br /><br />Arshad et al. conducted a systematic review on the use of arthroscopic bone marrow stimulation for secondary osteochondral lesions of the talus, discussing its appropriateness and effectiveness (Clin Orthop Relat Res, 2022).<br /><br />Dahmen et al. performed a systematic review evaluating evidence-based treatments for failed primary osteochondral lesions of the talus, focusing on clinical outcomes of bone marrow stimulation techniques (Cartilage, 2021).<br /><br />Lastly, Shimozono et al. compared the use of allograft versus autograft in osteochondral transplantation for treating talus lesions, assessing the relative benefits and effectiveness of each (J Bone Joint Surg Am, 2018).<br /><br />These references collectively address various revision strategies for osteochondral lesions, emphasizing the importance of selecting the appropriate treatment method based on individual case assessments and the existing evidence of clinical outcomes. The document suggests that both biomaterial-based approaches like AMIC and grafting procedures, whether autologous or allogenic, are prevalent methods in addressing failed osteochondral repairs, providing insights into their respective advantages and complications.

Keywords

osteochondral lesions

talus

AMIC

cartilage repair

bone marrow stimulation

autograft

allograft

revision treatment

clinical outcomes

transplantation