OSTEOCHONDRAL LESIONS IN THE ANKLE – A REVIEW OF DIAGNOSTIC AND TREATMENT
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2014, Vol 9, Issue 9
Abstract
The purpose of this study is to present the problem of treatment the osteochondral lesions in the talus. Nowadays, the most popular methods are microfratures. The others are mosaicoplasty, osteochondral allograft transplantation, AMIC procedure (autologous matrix induced chodrogenesis), which is a microfrature combined with the use of collagen membrane. Retrograde drilling, fixation, osteotomies and metal implants should also be mentioned. Biological methods, such as platelet rich plasma, concentrated bone marrow, hialuronic acid injections (very often with the combination of the previously mentioned methods) become increasingly popular. There is no consensus about the treatment of OCL in the talus. This paper presents the OCL treatment algorithm of the talus.
Authors and Affiliations
Dariusz Szkudlarczyk, Tomasz Piontek, Witold Dudziński, Kinga Ciemniewska-Gorzela, Paweł Bąkowski
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