Comparison of chondral versus osteochondral lesions of the talus after arthroscopic microfracture
Purpose To compare the outcomes of arthroscopic microfracture for chondral and osteochondral lesions of the talus, and to identify the characteristics. Method One hundred and four ankles were divided into two groups, namely chondral group (58 ankles) and osteochondral group (46 ankles). The chondral...
Gespeichert in:
| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2015-03, Vol.23 (3), p.860-867 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 867 |
|---|---|
| container_issue | 3 |
| container_start_page | 860 |
| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| container_volume | 23 |
| creator | Park, Hyeong-Won Lee, Keun-Bae |
| description | Purpose
To compare the outcomes of arthroscopic microfracture for chondral and osteochondral lesions of the talus, and to identify the characteristics.
Method
One hundred and four ankles were divided into two groups, namely chondral group (58 ankles) and osteochondral group (46 ankles). The chondral group consisted of 37 men and 21 women with a mean age of 41.5 years [95 % confidence interval (CI) 38.9–44.1] and a mean follow-up duration of 37.6 months (95 % CI 34.7–40.5). The osteochondral group consisted of 25 men and 21 women with a mean age of 22.5 years (95 % CI 19.5–22.5) and a mean follow-up duration of 38.3 months (95 % CI 35.4–41.2). Outcomes were measured using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale, and ankle activity score (AAS).
Results
Mean AOFAS score was 64.9 points (95 % CI 63.0–66.9) in the chondral group and 68.2 points (95 % CI 65.8–70.5) in the osteochondral group preoperatively, and it had improved to 88.8 points (95 % CI 86.8–90.8) and 93.5 points (95 % CI 91.4–95.6) at final follow-up. Mean AAS changed from 2.7 (95 % CI 2.5–2.9) preoperatively to 6.4 (95 % CI 6.0–6.8) in the chondral group, and from 2.5 (95 % CI 2.3–2.8) preoperatively to 6.6 (95 % CI 6.3–6.9) in the osteochondral group at final follow-up. No significant differences were found between the two groups in terms of AOFAS and AAS. The chondral group showed older age, less trauma history, longer symptom duration, smaller lesion size, and more frequent degenerative changes such as subchondral cyst and synovitis.
Conclusion
Both chondral and osteochondral lesions of the talus treated with arthroscopic microfracture showed similar good clinical outcomes. It is important to note that two groups had different characteristics in age distribution, frequency of trauma history, symptom duration, lesion size and location, and incidence of degenerative changes. This study demonstrated that microfracture could improve clinical outcomes significantly both chondral and osteochondral lesions of talus despite their different characteristics.
Level of evidence
Prospective comparative study, Level II. |
| doi_str_mv | 10.1007/s00167-014-3061-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1664198248</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1657315450</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-3491802546b31e83181e376e142c5c40deecb363da95927ca721664a220886913</originalsourceid><addsrcrecordid>eNqNkcFq3DAQhkVpaDabPkAvxdBLL05mJFmyj2VJm0Kgl-YstNpx18G2tho7sG8fmU1DKQR6ktB884ufT4gPCFcIYK8ZAI0tAXWpwGB5fCNWqJUqrdL2rVhBo2UpoTLn4oL5ASBfdfNOnEtda8zDlfCbOBx86jiORWyLsI_jLvm-eKTEMxeRJ4ovjz1xF0dewGlPxeT7jPh2olT4NO1T5BAPXSiGLqTYJh-mOdGlOGt9z_T--VyL-683Pze35d2Pb983X-7KoFU9lUo3WIOstNkqpFphjaSsIdQyVEHDjihslVE731SNtMFbicZoLyXUtWlQrcXnU-4hxd8z8eSGjgP1vR8pzuwWGps6V_8PtLIKK11BRj_9gz7EOY25yEJVxhoJMlN4onJv5kStO6Ru8OnoENyiyp1UuazKLarcMe98fE6etwPtXjb-uMmAPAGcR-MvSn99_WrqE5XkniI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1655676202</pqid></control><display><type>article</type><title>Comparison of chondral versus osteochondral lesions of the talus after arthroscopic microfracture</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><source>SpringerLink Journals - AutoHoldings</source><creator>Park, Hyeong-Won ; Lee, Keun-Bae</creator><creatorcontrib>Park, Hyeong-Won ; Lee, Keun-Bae</creatorcontrib><description>Purpose
To compare the outcomes of arthroscopic microfracture for chondral and osteochondral lesions of the talus, and to identify the characteristics.
Method
One hundred and four ankles were divided into two groups, namely chondral group (58 ankles) and osteochondral group (46 ankles). The chondral group consisted of 37 men and 21 women with a mean age of 41.5 years [95 % confidence interval (CI) 38.9–44.1] and a mean follow-up duration of 37.6 months (95 % CI 34.7–40.5). The osteochondral group consisted of 25 men and 21 women with a mean age of 22.5 years (95 % CI 19.5–22.5) and a mean follow-up duration of 38.3 months (95 % CI 35.4–41.2). Outcomes were measured using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale, and ankle activity score (AAS).
Results
Mean AOFAS score was 64.9 points (95 % CI 63.0–66.9) in the chondral group and 68.2 points (95 % CI 65.8–70.5) in the osteochondral group preoperatively, and it had improved to 88.8 points (95 % CI 86.8–90.8) and 93.5 points (95 % CI 91.4–95.6) at final follow-up. Mean AAS changed from 2.7 (95 % CI 2.5–2.9) preoperatively to 6.4 (95 % CI 6.0–6.8) in the chondral group, and from 2.5 (95 % CI 2.3–2.8) preoperatively to 6.6 (95 % CI 6.3–6.9) in the osteochondral group at final follow-up. No significant differences were found between the two groups in terms of AOFAS and AAS. The chondral group showed older age, less trauma history, longer symptom duration, smaller lesion size, and more frequent degenerative changes such as subchondral cyst and synovitis.
Conclusion
Both chondral and osteochondral lesions of the talus treated with arthroscopic microfracture showed similar good clinical outcomes. It is important to note that two groups had different characteristics in age distribution, frequency of trauma history, symptom duration, lesion size and location, and incidence of degenerative changes. This study demonstrated that microfracture could improve clinical outcomes significantly both chondral and osteochondral lesions of talus despite their different characteristics.
Level of evidence
Prospective comparative study, Level II.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-014-3061-y</identifier><identifier>PMID: 24841942</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Age ; Age Distribution ; Ankle ; Ankle Injuries - surgery ; Arthritis ; Arthroplasty, Subchondral ; Arthroscopy ; Cartilage ; Cartilage, Articular - injuries ; Cartilage, Articular - surgery ; Clinical outcomes ; Female ; Fractures, Bone - surgery ; Humans ; Magnetic resonance imaging ; Male ; Medicine ; Medicine & Public Health ; Orthopedics ; Surgery ; Talus - surgery ; Time Factors ; Trauma ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015-03, Vol.23 (3), p.860-867</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-3491802546b31e83181e376e142c5c40deecb363da95927ca721664a220886913</citedby><cites>FETCH-LOGICAL-c438t-3491802546b31e83181e376e142c5c40deecb363da95927ca721664a220886913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-014-3061-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-014-3061-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24841942$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Hyeong-Won</creatorcontrib><creatorcontrib>Lee, Keun-Bae</creatorcontrib><title>Comparison of chondral versus osteochondral lesions of the talus after arthroscopic microfracture</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
To compare the outcomes of arthroscopic microfracture for chondral and osteochondral lesions of the talus, and to identify the characteristics.
Method
One hundred and four ankles were divided into two groups, namely chondral group (58 ankles) and osteochondral group (46 ankles). The chondral group consisted of 37 men and 21 women with a mean age of 41.5 years [95 % confidence interval (CI) 38.9–44.1] and a mean follow-up duration of 37.6 months (95 % CI 34.7–40.5). The osteochondral group consisted of 25 men and 21 women with a mean age of 22.5 years (95 % CI 19.5–22.5) and a mean follow-up duration of 38.3 months (95 % CI 35.4–41.2). Outcomes were measured using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale, and ankle activity score (AAS).
Results
Mean AOFAS score was 64.9 points (95 % CI 63.0–66.9) in the chondral group and 68.2 points (95 % CI 65.8–70.5) in the osteochondral group preoperatively, and it had improved to 88.8 points (95 % CI 86.8–90.8) and 93.5 points (95 % CI 91.4–95.6) at final follow-up. Mean AAS changed from 2.7 (95 % CI 2.5–2.9) preoperatively to 6.4 (95 % CI 6.0–6.8) in the chondral group, and from 2.5 (95 % CI 2.3–2.8) preoperatively to 6.6 (95 % CI 6.3–6.9) in the osteochondral group at final follow-up. No significant differences were found between the two groups in terms of AOFAS and AAS. The chondral group showed older age, less trauma history, longer symptom duration, smaller lesion size, and more frequent degenerative changes such as subchondral cyst and synovitis.
Conclusion
Both chondral and osteochondral lesions of the talus treated with arthroscopic microfracture showed similar good clinical outcomes. It is important to note that two groups had different characteristics in age distribution, frequency of trauma history, symptom duration, lesion size and location, and incidence of degenerative changes. This study demonstrated that microfracture could improve clinical outcomes significantly both chondral and osteochondral lesions of talus despite their different characteristics.
Level of evidence
Prospective comparative study, Level II.</description><subject>Adult</subject><subject>Age</subject><subject>Age Distribution</subject><subject>Ankle</subject><subject>Ankle Injuries - surgery</subject><subject>Arthritis</subject><subject>Arthroplasty, Subchondral</subject><subject>Arthroscopy</subject><subject>Cartilage</subject><subject>Cartilage, Articular - injuries</subject><subject>Cartilage, Articular - surgery</subject><subject>Clinical outcomes</subject><subject>Female</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Surgery</subject><subject>Talus - surgery</subject><subject>Time Factors</subject><subject>Trauma</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkcFq3DAQhkVpaDabPkAvxdBLL05mJFmyj2VJm0Kgl-YstNpx18G2tho7sG8fmU1DKQR6ktB884ufT4gPCFcIYK8ZAI0tAXWpwGB5fCNWqJUqrdL2rVhBo2UpoTLn4oL5ASBfdfNOnEtda8zDlfCbOBx86jiORWyLsI_jLvm-eKTEMxeRJ4ovjz1xF0dewGlPxeT7jPh2olT4NO1T5BAPXSiGLqTYJh-mOdGlOGt9z_T--VyL-683Pze35d2Pb983X-7KoFU9lUo3WIOstNkqpFphjaSsIdQyVEHDjihslVE731SNtMFbicZoLyXUtWlQrcXnU-4hxd8z8eSGjgP1vR8pzuwWGps6V_8PtLIKK11BRj_9gz7EOY25yEJVxhoJMlN4onJv5kStO6Ru8OnoENyiyp1UuazKLarcMe98fE6etwPtXjb-uMmAPAGcR-MvSn99_WrqE5XkniI</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Park, Hyeong-Won</creator><creator>Lee, Keun-Bae</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>Comparison of chondral versus osteochondral lesions of the talus after arthroscopic microfracture</title><author>Park, Hyeong-Won ; Lee, Keun-Bae</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-3491802546b31e83181e376e142c5c40deecb363da95927ca721664a220886913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Age</topic><topic>Age Distribution</topic><topic>Ankle</topic><topic>Ankle Injuries - surgery</topic><topic>Arthritis</topic><topic>Arthroplasty, Subchondral</topic><topic>Arthroscopy</topic><topic>Cartilage</topic><topic>Cartilage, Articular - injuries</topic><topic>Cartilage, Articular - surgery</topic><topic>Clinical outcomes</topic><topic>Female</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Surgery</topic><topic>Talus - surgery</topic><topic>Time Factors</topic><topic>Trauma</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Hyeong-Won</creatorcontrib><creatorcontrib>Lee, Keun-Bae</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Hyeong-Won</au><au>Lee, Keun-Bae</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of chondral versus osteochondral lesions of the talus after arthroscopic microfracture</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>23</volume><issue>3</issue><spage>860</spage><epage>867</epage><pages>860-867</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
To compare the outcomes of arthroscopic microfracture for chondral and osteochondral lesions of the talus, and to identify the characteristics.
Method
One hundred and four ankles were divided into two groups, namely chondral group (58 ankles) and osteochondral group (46 ankles). The chondral group consisted of 37 men and 21 women with a mean age of 41.5 years [95 % confidence interval (CI) 38.9–44.1] and a mean follow-up duration of 37.6 months (95 % CI 34.7–40.5). The osteochondral group consisted of 25 men and 21 women with a mean age of 22.5 years (95 % CI 19.5–22.5) and a mean follow-up duration of 38.3 months (95 % CI 35.4–41.2). Outcomes were measured using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale, and ankle activity score (AAS).
Results
Mean AOFAS score was 64.9 points (95 % CI 63.0–66.9) in the chondral group and 68.2 points (95 % CI 65.8–70.5) in the osteochondral group preoperatively, and it had improved to 88.8 points (95 % CI 86.8–90.8) and 93.5 points (95 % CI 91.4–95.6) at final follow-up. Mean AAS changed from 2.7 (95 % CI 2.5–2.9) preoperatively to 6.4 (95 % CI 6.0–6.8) in the chondral group, and from 2.5 (95 % CI 2.3–2.8) preoperatively to 6.6 (95 % CI 6.3–6.9) in the osteochondral group at final follow-up. No significant differences were found between the two groups in terms of AOFAS and AAS. The chondral group showed older age, less trauma history, longer symptom duration, smaller lesion size, and more frequent degenerative changes such as subchondral cyst and synovitis.
Conclusion
Both chondral and osteochondral lesions of the talus treated with arthroscopic microfracture showed similar good clinical outcomes. It is important to note that two groups had different characteristics in age distribution, frequency of trauma history, symptom duration, lesion size and location, and incidence of degenerative changes. This study demonstrated that microfracture could improve clinical outcomes significantly both chondral and osteochondral lesions of talus despite their different characteristics.
Level of evidence
Prospective comparative study, Level II.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24841942</pmid><doi>10.1007/s00167-014-3061-y</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015-03, Vol.23 (3), p.860-867 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1664198248 |
| source | MEDLINE; Wiley Online Library All Journals; SpringerLink Journals - AutoHoldings |
| subjects | Adult Age Age Distribution Ankle Ankle Injuries - surgery Arthritis Arthroplasty, Subchondral Arthroscopy Cartilage Cartilage, Articular - injuries Cartilage, Articular - surgery Clinical outcomes Female Fractures, Bone - surgery Humans Magnetic resonance imaging Male Medicine Medicine & Public Health Orthopedics Surgery Talus - surgery Time Factors Trauma Young Adult |
| title | Comparison of chondral versus osteochondral lesions of the talus after arthroscopic microfracture |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T19%3A57%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20chondral%20versus%20osteochondral%20lesions%20of%20the%20talus%20after%20arthroscopic%20microfracture&rft.jtitle=Knee%20surgery,%20sports%20traumatology,%20arthroscopy%20:%20official%20journal%20of%20the%20ESSKA&rft.au=Park,%20Hyeong-Won&rft.date=2015-03-01&rft.volume=23&rft.issue=3&rft.spage=860&rft.epage=867&rft.pages=860-867&rft.issn=0942-2056&rft.eissn=1433-7347&rft_id=info:doi/10.1007/s00167-014-3061-y&rft_dat=%3Cproquest_cross%3E1657315450%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1655676202&rft_id=info:pmid/24841942&rfr_iscdi=true |