The Analysis of the Efficacy of Ankle Arthroscopic Microfracture in the Treatment of Osteochondral Lesions of the Talus in Different MRI Classifications.

Chuan HE; Yong-de SHU; Teng-yun YANG; Yan-lin LI; Fu-ke WANG; Ren-jie HE; Rui-ying ZHONG; Guang-chao CHEN

doi:10.12259/j.issn.2095-610X.S20210513

Volume 42 Issue 5

May 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(5): 70-75

Chuan HE, Yong-de SHU, Teng-yun YANG, Yan-lin LI, Fu-ke WANG, Ren-jie HE, Rui-ying ZHONG, Guang-chao CHEN. The Analysis of the Efficacy of Ankle Arthroscopic Microfracture in the Treatment of Osteochondral Lesions of the Talus in Different MRI Classifications.[J]. Journal of Kunming Medical University, 2021, 42(5): 70-75. doi: 10.12259/j.issn.2095-610X.S20210513

Citation:

Chuan HE, Yong-de SHU, Teng-yun YANG, Yan-lin LI, Fu-ke WANG, Ren-jie HE, Rui-ying ZHONG, Guang-chao CHEN. The Analysis of the Efficacy of Ankle Arthroscopic Microfracture in the Treatment of Osteochondral Lesions of the Talus in Different MRI Classifications.[J]. Journal of Kunming Medical University, 2021, 42(5): 70-75. doi: 10.12259/j.issn.2095-610X.S20210513

Citation:

Chuan HE, Yong-de SHU, Teng-yun YANG, Yan-lin LI, Fu-ke WANG, Ren-jie HE, Rui-ying ZHONG, Guang-chao CHEN. The Analysis of the Efficacy of Ankle Arthroscopic Microfracture in the Treatment of Osteochondral Lesions of the Talus in Different MRI Classifications.[J]. Journal of Kunming Medical University, 2021, 42(5): 70-75. doi: 10.12259/j.issn.2095-610X.S20210513

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The Analysis of the Efficacy of Ankle Arthroscopic Microfracture in the Treatment of Osteochondral Lesions of the Talus in Different MRI Classifications.

doi: 10.12259/j.issn.2095-610X.S20210513

1.
Dept. of Sports Medicine，The First Affiliated Hospital of Kunming Medical University，Kunming Yunnan，650032
2.
Dept. of Orthopedics，People’s Hospital of Shiping County，Shiping Yunnan 662200，China

Received Date: 2021-01-14
Available Online: 2021-06-03
Publish Date: 2021-05-20

Abstract

Abstract

Objective To explore the clinical effects of ankle arthroscopic microfracture used in different MRI classifications of osteochondral lesions of the talus. Methods 48 cases with osteochondral lesions of the talus and treated with microfracture under the ankle arthroscopy were divided into 4 groups according to MRI classification. The functional recovery and pain relief of ankle joint were observed after the follow-up, and the curative effects of each group were compared. Results The average follow-up of 48 cases was 23.7 months. For MRI grade Ⅱ° , Ⅲ° , Ⅳ° , Ⅴ° injury patients, microfracture could bring good functional results （P < 0.05）. The total excellent and good rate of postoperative AOFAS function score was 40 cases （83.33%）, of which Ⅱ° 13 （100%） and Ⅲ° 16（100%） were much higher than Ⅳ° 7（63.64%）, Ⅴ° 4（50%）. There was no significant difference in the improvement of AOFAS score among the four groups （P > 0.05）. And the improvement of VAS score in patients with Ⅱ° and Ⅲ° injuries was significantly better than that in patients with Ⅳ° and Ⅴ° injuries （P < 0.05）. Conclusion The clinical effects of ankle arthroscopic microfracture are different in different MRI classifications of osteochondral lesions of the talus. Pain relief and postoperative function in patients with Ⅱor Ⅲ grade are significantly better than those with Ⅳ or Ⅴ grade.
- Osteochondral lesions of the talus,
- Ankle sprain,
- Microfracture,
- Ankle arthroscopy

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References(25)

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