Download Cartilage Lesions of the Ankle by Gian Luigi Canata, C. Niek van Dijk PDF

By Gian Luigi Canata, C. Niek van Dijk

This e-book, released in cooperation with ISAKOS, is a concise, updated advisor and reference at the therapy of cartilage lesions of the ankle that might be of functional scientific price for experts in activities medication and activities traumatology. varied concepts and the administration of varied lesions are defined step-by-step, guiding the practitioner in the course of the whole spectrum of care from evaluate of the damage to profitable restoration. Chondral and osteochondral lesions of the talus can current due to repetitive ankle accidents, inflicting persistent soreness, recurrent swelling, and weak point and stiffness of the ankle joint. a correct early analysis is needed, utilizing scientific assessment, imaging ideas and arthroscopy of the ankle. In acute and non-displaced chondral and osteochondral lesions, conservative remedy is the mainstay. surgical procedure is usually recommended for risky and protracted lesions and is composed in numerous strategies fascinated with regeneration of the cartilage. Returning to play is feasible after checking out stability and proprioception, power, variety of movement, and agility.

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Extra info for Cartilage Lesions of the Ankle

Example text

Casale 4 Arthroscopic Debridement of Osteochondral Lesions of the Talus 35 Fig. 7 Anterograde drilling Fig. 8 The holes after drilling References 1. Zengerink M, Struijs PA, Tol JL et al (2010) Treatment of osteochondral lesions of the talus: a systematic review. Knee Surg Sports Traumatol Arthrosc 18(2):238–246 2. Robinson DE, Winson IG, Harries WJ et al (2003) Arthroscopic treatment of osteochondral lesions of the talus. J Bone Joint Surg Br 85(13):989–993 3. Chew KTL, Tay E, Wong ES (2008) Osteochondral lesions of the talus.

It is well documented that arthroscopic excision, curettage and bone marrow stimulation should be the first treatment of choice for primary osteochondral talar lesions: this procedure is relatively inexpensive; there is low morbidity, a quick recovery and a high success rate [1]. The best indications for bone marrow stimulation techniques are a lesion smaller than 1,5 cm2 with frayed cartilage, primary surgery, patients younger than 50 years old, a traumatic etiology, lateral lesions and low body mass index.

Were the first to compare microfractures (MF) to microdrilling (MD): in particular, they compared acute osteochondral characteristics 24 h after MF or MD procedures in a rabbit model. They found that MF produced a more compact bone around holes than MD did, avoiding marrow cells to reach the new holes and thus limiting the repairing process. On the other hand, MD did not produce the expected heat necrosis: this result was reached using a properly thin drill bit under cooled irrigation [16]. For Takao [17], arthroscopic drilling is less invasive than microfractures.

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