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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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

[1]	Yang H Y,Lee K B. Arthroscopic microfracture for osteochondral lesions of the talus:Second-look arthroscopic and magnetic resonance analysis of cartilage repair tissue outcomes[J]. J Bone Joint Surg Am,2020,102(1):10-20. doi: 10.2106/JBJS.19.00208
[2]	Choi S W,Lee G W,Lee K B. Arthroscopic microfracture for osteochondral lesions of the talus:Functional outcomes at a mean of 6.7 years in 165 consecutive ankles[J]. Am J Sports Med,2020,48(1):153-158. doi: 10.1177/0363546519887957
[3]	Tol J L,Struijs P A,Bossuyt P M,et al. Treatment strategies in osteochondral defects of the talar dome:A systematic review[J]. Foot Ankle Int,2000,21(2):119-126. doi: 10.1177/107110070002100205
[4]	杨腾云,李彦林,刘德健,等. 外周血源性间充质干细胞修复骨关节炎软骨损伤的应用前景与问题[J]. 中国组织工程研究,2021,25(19):3071-3076. doi: 10.3969/j.issn.2095-4344.3520
[5]	Dekker T J,Dekker P K,Tainter D M,et al. Treatment of osteochondral lesions of the talus:A critical analysis review[J]. JBJS Rev,2017,5(3):1-10.
[6]	Younger A,Wing K,Penner M,et al. A study to evaluate the safety of platelet-derived growth factor for treatment of osteochondral defects of the talus[J]. Knee Surg Sports Traumatol Arthrosc,2016,24(4):1250-1258. doi: 10.1007/s00167-015-3549-0
[7]	Dahmen J,Lambers K T A,Reilingh M L,et al. No superior treatment for primary osteochondral defects of the talus[J]. Knee Surg Sports Traumatol Arthrosc,2018,26(7):2142-2157. doi: 10.1007/s00167-017-4616-5
[8]	Polat G,Erşen A,Erdil M E,et al. Long-term results of microfracture in the treatment of talus osteochondral lesions[J]. Knee Surg Sports Traumatol Arthrosc,2016,24(4):1299-1303. doi: 10.1007/s00167-016-3990-8
[9]	Hunt S A,Sherman O. Arthroscopic treatment of osteochondral lesions of the talus with correlation of outcome scoring systems[J]. Arthroscopy,2003,19(4):360-367. doi: 10.1053/jars.2003.50047
[10]	Schuman L,Struijs P A,van Dijk C N. Arthroscopic treatment for osteochondral defects of the talus. Results at follow-up at 2 to 11 years[J]. J Bone Joint Surg Br,2002,84(3):364-368. doi: 10.1302/0301-620X.84B3.0840364
[11]	D’ Ambrosi R,Maccario C,Serra N,et al. Osteochondral lesions of the talus and autologous matrix-induced chondrogenesis:is age a negative predictor outcome?[J]. Arthroscopy,2017,33(2):428-435. doi: 10.1016/j.arthro.2016.09.030
[12]	Ramponi L,Yasui Y,Murawski C D,et al. Lesion size is a predictor of clinical outcomes after bone marrow stimulation for osteochondral lesions of the talus:A systemic review[J]. Am J Sports Med,2017,45(7):1698-1705. doi: 10.1177/0363546516668292
[13]	Yoshimura I,Kanazawa K,Takeyama A,et al. Arthroscopic bone marrow stimulation techniques for osteochondral lesions of the talus:Prognostic factors for small lesions[J]. Am J Sports Med,2013,41(3):528-534. doi: 10.1177/0363546512472979
[14]	Zengerink M,Struijs P A,Tol J L,et al. Treatment of osteochondral lesions of the talus:A systemic review[J]. Knee Surg Sports Traumatol Arthrosc,2010,18(2):238-246. doi: 10.1007/s00167-009-0942-6
[15]	Posadzy M,Desimpel J,Vanhoenacker F. Staging of osteochondral lesions of the talus:MRI and cone beam CT[J]. J Belg Soc Radiol,2017,101(Suppl 2):1.
[16]	Deng E,Gao L,Shi W,et al. Both magnetic resonance imaging and computed tomography are reliable and valid in evaluating cystic osteochondral lesions of the talus[J]. Orthop J Sports Med,2020,8(9):2325967120946697.
[17]	Mintz D N,Tashjian G S,Connell D A,et al. Osteochondral lesions of the talus:A new magnetic resonance grading system with arthroscopic correlation[J]. Arthroscopy,2003,19(4):353-359. doi: 10.1053/jars.2003.50041
[18]	Dipaola J D,Nelson D W,Colville M R. Characterizing osteochondral lesions by magnetic resonance imaging[J]. Arthroscopy,1991,7(1):101-104. doi: 10.1016/0749-8063(91)90087-E
[19]	Hepple S,Winson I G,Glew D. Osteochondral lesions of the talus:A revised classification[J]. Foot Ankle Int,1999,20(12):789-793. doi: 10.1177/107110079902001206
[20]	Grambart S T. Arthroscopic management of osteochondral lesions of the talus[J]. Clin Podiatr Med Surg,2016,33(4):521-530. doi: 10.1016/j.cpm.2016.06.008
[21]	Van Bergen C J,Kox L S,Maas M,et al. Arthroscopic treatment of osteochondral defects of the talus:outcomes at eight to twenty years of follow-up[J]. J Bone Joint Surg Am,2013,95(6):519-525. doi: 10.2106/JBJS.L.00675
[22]	Lee K B,Bai L B,Chung J Y,et al. Arthroscopic microfracture for osteochondral lesions of the talus[J]. Knee Surg Sports Traumatol Arthrosc,2010,18(2):247-253. doi: 10.1007/s00167-009-0914-x
[23]	李春宝,刘玉杰,魏民,李众利,王志刚,蔡谞,朱娟丽. 关节镜清理与微骨折术治疗距骨骨软骨损伤的疗效[J]. 军医进修学院学报,2011,32(8):786-787,790.
[24]	曹晋,张常贵,林杨景,等. 镜下微骨折治疗距骨骨软骨损伤[J]. 中国矫形外科杂志,2021,29(4):364-366.
[25]	Ferkel R D,Zanotti R M,Komenda G A,et al. Arthroscopic treatment of chronic osteochondral lesions of the talus:Long-term results[J]. Am J Sports Med,2008,36(9):1750-1762. doi: 10.1177/0363546508316773

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