Surgical Treatment of Osteochondral Lesions of the Talus in Young Active Patients by Sandro Giannini, Roberto Buda, Cesare Faldini, Francesca Vannini,

Slides:

Advertisements

Similar presentations

Surgical Management of Knee Dislocations by Anikar Chhabra, Peter S. Cha, Jeffrey A. Rihn, Brian Cole, Craig H. Bennett, Robert L. Waltrip, and Christopher.

Advertisements

Autologous Chondrocyte Implantation by Deryk G. Jones, and Lars Peterson J Bone Joint Surg Am Volume 88(11): November 1, 2006 ©2006 by The Journal.

Osteochondromas of the Distal Aspect of the Tibia or Fibula by Kingsley R. Chin, F. Daniel Kharrazi, Bruce S. Miller, Henry J. Mankin, and Mark C. Gebhardt.

Subtrochanteric Valgus Osteotomy for Chronically Dislocated, Painful Spastic Hips by Kathleen A. Hogan, Matthew Blake, and Richard H. Gross J Bone Joint.

Regeneration of Meniscal Cartilage with Use of a Collagen Scaffold. Analysis of Preliminary Data* by KEVIN R. STONE, J. RICHARD STEADMAN, WILLIAM G. RODKEY,

Evaluation of Skill Level Between Trainees and Community Orthopaedic Surgeons Using a Virtual Reality Arthroscopic Knee Simulator by W. Dilworth Cannon,

Avoiding Complications in the Treatment of Humeral Fractures by Jeffrey O. Anglen, Michael T. Archdeacon, Lisa K. Cannada, and Dolfi Herscovici J Bone.

Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7): July 1, 2002 ©2002.

The Effect of Suture-Button Fixation on Simulated Syndesmotic Malreduction: A Cadaveric Study by Robert W. Westermann, Chamnanni Rungprai, Jessica E. Goetz,

Evaluation of Articular Cartilage Progenitor Cells for the Repair of Articular Defects in an Equine Model by David D. Frisbie, Helen E. McCarthy, Charles.

Diagnosis and Treatment of Chronic Ankle Pain by Dane K. Wukich, and Dominic A. Tuason J Bone Joint Surg Am Volume 92(10): August 18, 2010 ©2010.

Surgical Repair of Acute and Chronic Tibialis Anterior Tendon Ruptures by V. James Sammarco, G. James Sammarco, Carlo Henning, and Solomon Chaim J Bone.

Acute Fractures of the Scaphoid by J. Mi Haisman, Rachel S. Rohde, and Andrew J. Weiland J Bone Joint Surg Am Volume 88(12): December 1, 2006.

Concentrated Bone Marrow Aspirate Improves Full- Thickness Cartilage Repair Compared with Microfracture in the Equine Model by Lisa A. Fortier, Hollis.

The Healing Potential of Stable Juvenile Osteochondritis Dissecans Knee Lesions by Eric J. Wall, Jason Vourazeris, Gregory D. Myer, Kathleen H. Emery,

Volume 92(Supplement 2): Recurrent Shoulder Instability: Current Concepts for Evaluation and Management of Glenoid Bone Loss by CDR Matthew T. Provencher,

Autologous Osteochondral Mosaicplasty for Osteochondritis Dissecans of the Elbow in Teenage Athletes by Norimasa Iwasaki, Hiroyuki Kato, Jyunichi Ishikawa,

Scoliosis in Patients with Duchenne Muscular Dystrophy by Lori A. Karol J Bone Joint Surg Am Volume 89(suppl 1): February 1, 2007 ©2007 by The Journal.

Allogeneic Cancellous Bone Graft and a Burch-Schneider Ring for Acetabular Reconstruction in Revision Hip Arthroplasty by E. Winter, M. Piert, R. Volkmann,

Magnetic Resonance Imaging of the Knee by A. Jay Khanna, Andrew J. Cosgarea, Michael A. Mont, Brett M. Andres, Benjamin G. Domb, Peter J. Evans, David.

Hypertrophy of Ligamentum Flavum in Lumbar Spinal Stenosis Associated with Increased Proteinase Inhibitor Concentration by Jong-Beom Park, Jin-Kyung Lee,

Operative Treatment of Chest Wall Injuries: Indications, Technique, and Outcomes by Paul M. Lafferty, Jack Anavian, Ryan E. Will, and Peter A. Cole J Bone.

Comparison of Ropivacaine and Bupivacaine Toxicity in Human Articular Chondrocytes by Samantha L. Piper, and Hubert T. Kim J Bone Joint Surg Am Volume.

Extracellular Matrix Bioscaffolds for Orthopaedic Applications by Jolene E. Valentin, John S. Badylak, George P. McCabe, and Stephen F. Badylak J Bone.

What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca.

Prevalence of Neural Axis Abnormalities in Patients with Infantile Idiopathic Scoliosis by Matthew B. Dobbs, Lawrence G. Lenke, Deborah A. Szymanski, Jose.

Can the Need for Future Surgery for Acute Traumatic Anterior Shoulder Dislocation Be Predicted? by Raymond A. Sachs, Mary Lou Stone, Elizabeth Paxton,

Radiographic Evaluation of Pathological Bone Lesions: Current Spectrum of Disease and Approach to Diagnosis by Benjamin G. Domb, Wakenda Tyler, Scott Ellis,

N-Acetylcysteine Inhibits Post-Impact Chondrocyte Death in Osteochondral Explants by James A. Martin, Daniel McCabe, Morgan Walter, Joseph A. Buckwalter,

Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew.

Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6): June 1, 2008 ©2008.

Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):

The Trends in Treatment of Femoral Neck Fractures in the Medicare Population from 1991 to 2008 by Benjamin J. Miller, Xin Lu, and Peter Cram J Bone Joint.

Surgical Treatment of Adult Idiopathic Cavus Foot with Plantar Fasciotomy, Naviculocuneiform Arthrodesis, and Cuboid Osteotomy by Sandro Giannini, Francesco.

Percutaneous Autologous Bone-Marrow Grafting for Nonunions by Ph. Hernigou, A. Poignard, F. Beaujean, and H. Rouard J Bone Joint Surg Am Volume 87(7):

Effects of the Combination of Microfracture and Self- Assembling Peptide Filling on the Repair of a Clinically Relevant Trochlear Defect in an Equine Model.

Preoperative Delayed Gadolinium-Enhanced Magnetic Resonance Imaging of Cartilage (dGEMRIC) for Patients Undergoing Hip Arthroscopy by Sivashankar Chandrasekaran,

Reconstruction of Segmental Bone Defects Due to Chronic Osteomyelitis with Use of an External Fixator and an Intramedullary Nail by Levent Eralp, Mehmet.

Oncologic and Functional Outcome Following Sacrectomy for Sacral Chordoma by Christopher A. Hulen, H. Thomas Temple, William P. Fox, Andrew A. Sama, Barth.

Consequences of Oversizing: Nerve-to-Nerve Tube Diameter Mismatch by Jonathan Isaacs, Satya Mallu, Wo Yan, and Barrett Little J Bone Joint Surg Am Volume.

Ilizarov Hip Reconstruction for the Late Sequelae of Infantile Hip Infection by S. Robert Rozbruch, Dror Paley, Anil Bhave, and John E. Herzenberg J Bone.

Atraumatic Osteonecrosis of the Talus* by RONALD E. DELANOIS, MICHAEL A. MONT, TAEK RIM YOON, MARK MIZELL, and DAVID S. HUNGERFORD J Bone Joint Surg Am.

Clinical Outcome and Glenoid Morphology After Arthroscopic Repair of Chronic Osseous Bankart Lesions by Soichiro Kitayama, Hiroyuki Sugaya, Norimasa Takahashi,

Knee Injury in Patients Experiencing a High-Energy Traumatic Ipsilateral Hip Dislocation by Gary L. Schmidt, Robert Sciulli, and Gregory T. Altman J Bone.

Chondral Resurfacing of Articular Cartilage Defects in the Knee with the Microfracture Technique by Kai Mithoefer, Riley J. Williams, Russell F. Warren,

Avulsion of the Proximal Hamstring Origin by David G. Wood, Iain Packham, S. Paul Trikha, and James Linklater J Bone Joint Surg Am Volume 90(11):

Management of Thumb Metacarpophalangeal Ulnar Collateral Ligament Injuries by Peter C. Rhee, David B. Jones, and Sanjeev Kakar J Bone Joint Surg Am Volume.

Variability in Spine Surgery Procedures Performed During Orthopaedic and Neurological Surgery Residency Training by Alan H. Daniels, Christopher P. Ames,

Operative Treatment of Osteochondral Lesions of the Talus by Christopher D. Murawski, and John G. Kennedy J Bone Joint Surg Am Volume 95(11):

Stress Fracture of the Acetabular Rim: Arthroscopic Reduction and Internal Fixation by Noah J. Epstein, and Marc R. Safran J Bone Joint Surg Am Volume.

How to Treat Osteochondritis Dissecans of the Knee: Surgical Techniques and New Trends by Elizaveta Kon, Francesca Vannini, Roberto Buda, Giuseppe Filardo,

Long-Term Results Following Ankle Arthrodesis for Post- Traumatic Arthritis by Lisa M. Coester, Charles L. Saltzman, John Leupold, and William Pontarelli.

Ultrasound Measurements of Torsions in the Tibia and Femur by David Hudson, Todd Royer, and James Richards J Bone Joint Surg Am Volume 88(1): January.

Salvage of a Below-the-Knee Amputation Level Following a Type-IIIB Open Tibial Fracture by Steven J. Morgan, Justin Newman, Kagan Ozer, Wade Smith, and.

Open Fractures in Children by David G. Stewart, Robert M. Kay, and David L. Skaggs J Bone Joint Surg Am Volume 87(12): December 1, 2005 ©2005.

Dynamic Hip Screw Compared with External Fixation for Treatment of Osteoporotic Pertrochanteric Fractures by Antonio Moroni, Cesare Faldini, Francesco.

Effect of Cultured Autologous Chondrocytes on Repair of Chondral Defects in a Canine Model* by HOWARD A. BREINAN, TOM MINAS, HU-PING HSU, STEFAN NEHRER,

Arthroscopic Management of Septic Arthritis of the Shoulder Joint by In-Ho Jeon, Chang-Hyuk Choi, Jae-Sung Seo, Kyung-Jin Seo, Sang-Hun Ko, and Jin-Young.

Characteristics of Ossified Lesions in the Upper Cervical Spine Associated with Ossification of the Posterior Longitudinal Ligament in the Lower Cervical.

Autologous Osteochondral Mosaicplasty by László Hangody, Gábor K. Ráthonyi, Zsófia Duska, Gábor Vásárhelyi, Péter Füles, and László Módis J Bone Joint.

Transfer of the Pectoralis Major Muscle for the Treatment of Irreparable Rupture of the Subscapularis Tendon* by H. RESCH, P. POVACZ, E. RITTER, and W.

Treatment of a full-thickness articular cartilage defect in the femoral condyle of an athlete with autologous bone-marrow stromal cells R. Kuroda, M.D.,

Treatment of Osteochondral Lesions of the Talus With Cell-free Polymer-based Scaffold in Single-Step Arthroscopic Surgery Ulunay Kanatlı, M.D., Ali Eren,

Hip Arthroscopic Osteochondral Autologous Transplantation for Treating Osteochondritis Dissecans of the Femoral Head Takanori Kubo, M.D., Hajime Utsunomiya,

Definition of a Critical Size Osteochondral Knee Defect and its Negative Effect on the Surrounding Articular Cartilage in the Rat H. Katagiri, L.F. Mendes,

Treatment of a full-thickness articular cartilage defect in the femoral condyle of an athlete with autologous bone-marrow stromal cells R. Kuroda, M.D.,

Clinical feasibility of a novel biphasic osteochondral composite for matrix-associated autologous chondrocyte implantation H. Chiang, C.-J. Liao, C.-H.

Definition of a Critical Size Osteochondral Knee Defect and its Negative Effect on the Surrounding Articular Cartilage in the Rat H. Katagiri, L.F. Mendes,

Presentation transcript:

Surgical Treatment of Osteochondral Lesions of the Talus in Young Active Patients by Sandro Giannini, Roberto Buda, Cesare Faldini, Francesca Vannini, Roberto Bevoni, Gianluca Grandi, Brunella Grigolo, and Lisa Berti J Bone Joint Surg Am Volume 87(suppl 2):28-41 December 1, 2005 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

In an acute type-I lesion, only the superficial layer of the cartilage is involved. In an acute type-I lesion, only the superficial layer of the cartilage is involved. Fig. 2-A Diagram of the lesion. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

In an acute type-II lesion, open reduction and internal fixation of the fragment is indicated. In an acute type-II lesion, open reduction and internal fixation of the fragment is indicated. Fig. 3-A Diagram of the lesion. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

In a chronic type-0 lesion, a defect of the subchondral bone is covered by an intact cartilage layer. In a chronic type-0 lesion, a defect of the subchondral bone is covered by an intact cartilage layer. Fig. 4-A A T2-weighted magnetic resonance imaging scan showing the lesion. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

The cartilage sheet appeared intact at arthroscopy. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Retrograde drilling is indicated to preserve the integrity of the cartilage tissue. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

A chronic type-II lesion. A chronic type-II lesion. Fig. 6-A Diagram of the lesion. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

A chronic type-IIA lesion with an osteochondral defect that was >5 mm deep. A chronic type-IIA lesion with an osteochondral defect that was >5 mm deep. Fig. 7-A Diagram of the lesion. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

A graft of cancellous bone harvested from the distal aspect of the tibia was placed before the autologous chondrocyte implantation procedure. A graft of cancellous bone harvested from the distal aspect of the tibia was placed before the autologous chondrocyte implantation procedure. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Arthroscopic treatment of a chronic type-II osteochondral lesion of the talus with use of autologous chondrocyte implantation. Arthroscopic treatment of a chronic type-II osteochondral lesion of the talus with use of autologous chondrocyte implantation. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

A chronic type-III lesion. A chronic type-III lesion. Fig. 10-A The osteochondral fragment to be replaced may be obtained either from a non-weight-bearing area of the ipsilateral knee or from a fresh-frozen allograft. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Graph showing the clinical results. Graph showing the clinical results. The mean clinical score (and standard deviation) was 41 ± 9 points preoperatively, 90.5 ± 12 points at twelve months, and 93.2 ± 9 points at a mean of four years (range, three to eight years) postoperatively (p < 0.0005). A-1 = acute type I, A-2 = acute type II, C-0 = chronic type 0, C-1 = chronic type I, C-2 = chronic type II, and C-3 = chronic type III. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

A twenty-five-year-old woman with a chronic type-II osteochondral lesion of the talus and lower limb malaligment. A twenty-five-year-old woman with a chronic type-II osteochondral lesion of the talus and lower limb malaligment. Fig. 12-A T1-weighted magnetic resonance imaging scan showing the lesion. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

At one year, arthroscopy revealed a good macroscopic appearance of the cartilage surface with good integration of the repaired tissue into the surrounding cartilage. At one year, arthroscopy revealed a good macroscopic appearance of the cartilage surface with good integration of the repaired tissue into the surrounding cartilage. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

Safranin-O staining demonstrated a typical hyaline-like appearance (×50). Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.

At eight years, excellent results were seen on magnetic resonance imaging and at the clinical evaluation. At eight years, excellent results were seen on magnetic resonance imaging and at the clinical evaluation. Sandro Giannini et al. J Bone Joint Surg Am 2005;87:28-41 ©2005 by The Journal of Bone and Joint Surgery, Inc.