J Korean Foot Ankle Soc.  2015 Jun;19(2):43-46. 10.14193/jkfas.2015.19.2.43.

Redomicrofracture as a Treatment for Osteochondral Lesion of Talus after the Failure of Arthroscopic Microfracture

• Choi WJ
• Park KH
• Lee M
• Chung K
• Lee JW

• KMID: 1794881
• DOI: http://doi.org/10.14193/jkfas.2015.19.2.43

Abstract

Arthroscopic treatment has been reported to provide effective improvement of ankle function when used in treatment of small osteochondral lesion of talus; however, favorable long-term results have been less predictable for large osteochondral lesion of talus. In cases in which primary arthroscopic treatment fails, the decision regarding which subsequent technique to choose has become increasingly difficult, as good clinical outcomes may be unlikely for such patients irrespective of the surgical technique used. Redomicrofracture should be used judiciously for treatment of osteochondral lesion of talus in which arthroscopic treatment has failed.

Keyword

Osteochondral lesion of talus; Failed microfracture; Redomicrofracture

MeSH Terms

Ankle
Humans
Talus*

Figure

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  Figure 1. Redomicrofracture was performed for the treatment of osteochondral lesion of talus (B) in which arthroscopic microfracture has failed (A).

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  Figure 2. After the arthroscopic microfracture for osteochondral lesion of talus, second-look arthroscopy showed the fibrocartilage which was evenly distributed in the lesion.

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  Figure 3. After the arthroscopic microfracture for osteochondral lesion of talus, second-look arthroscopy showed proliferations of subchondral plates, bony overgrowths and fissures of regenerative fibrocartilages.

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