The treatment of osteochondral lesions of the talus with autologous osteochondral transplantation and bone marrow aspirate concentrate: Surgical technique

Cartilage

Volumn 2, Issue 4, 2011, Pages 327-336

  Kennedy, John G ^a   Murawski, Christopher D ^a  

^a HOSPITAL FOR SPECIAL SURGERY   (United States)

Author keywords

Ankle < Joint involved; Articular cartilage < tissue; Cartilage repair < Repair; Cartilage transplantation < Grafts; Sports njury < Diagnosis

Indexed keywords

EID: 84857136342     PISSN: 19476035     EISSN: 19476043     Source Type: Journal    
DOI: 10.1177/1947603511400726     Document Type: Article

References (41)

1. Saxena A, Eakin C. Articular talar injuries in athletes: results of microfracture and autogenous bone graft. Am J Sports Med. 2007;35(10):1680-1687.
2. Karlsson J, Sancone M. Management of acute ligament injuries of the ankle. Foot Ankle Clin. 2006;11(3):521-530.
3. Kannus P, Renstrom P. Treatment for acute tears of the lateral ligaments of the ankle: operation, cast, or early controlled mobilization. J Bone Joint Surg Am. 1991;73(2):305-312.
4. Lynch SA, Renström PA. Treatment of acute lateral ankle ligament rupture in the athlete conservative versus surgical treatment. Sports Med. 1999;27(1):61-71.
5. Chuckpaiwong B, Berkson EM, Theodore GH. Microfracture for osteochondral lesions of the ankle: outcome analysis and outcome predictors of 105 cases. Arthroscopy. 2008;24: 106-112.
6. Choi WJ, Park KK, Kim BS, Lee JW. Osteochondral lesion of the talus: is there a critical defect size for poor outcome? Am J Sports Med. 2009;37(10):1974-1980.
7. Guo QW, Hu YL, Jiao C, Yu CL, Ao YF. Arthroscopic treatment for osteochondral lesions of the talus: analysis of outcome predictors. Chin Med J (Engl). 2010;123(3):296-300.
8. Zengerink M, Struijs PA, Tol JL, van Dijk CN. Treatment of osteochondral lesions of the talus: a systematic review. Knee Surg Sports Tramatol Arthroscopy. Epub 2009 Oct 27.
9. Hangody L, Vasarhelyi G, Hangody LR, Sukosd Z, Tibay G, Bartha L, et al. Autologous osteochondral grafting: technique and long-term results. Injury. 2008;39(Suppl 1):S32-S39.
10. Scranton PE Jr., Frey CC, Feder KS. Outcome of osteochondral autograft transplantation for type-V cystic osteochondral lesions of the talus. J Bone Joint Surg Br. 2006;88(5):614-6149.
11. Murawski CD, Foo LF, Kennedy JG. A review of arthroscopic bone marrow stimulation techniques of the talus: the good, the bad, and the causes for concern. Cartilage. Epub 2010 Mar 29.
12. Valderrabano V, Leumann A, Rasch H, Egelhof T, Hintermann D, Pagenstert G. Knee-to-ankle mosaicplasty for the treatment of osteochondral lesions of the ankle joint. Am J Sports Med. 2009;37(Suppl 1):105S-111S.
13. Reddy S, Pedowitz DI, Parekh SG, Sennett BJ, Okereke E. The morbidity associated with osteochondral harvest from asymptomatic knees for the treatment of osteochondral lesions of the talus. Am J Sports Med. 2007;35(1):80-85.
14. Kevy SR, Jacobson MS, Mandle RJ. Defining the composition and healing effect of platelet-rich plasma. Transactions of the First International Symposium on the Use of Platelet-Rich Plasma in Orthopaedics; August 5, 2010; New York, NY, USA.
15. Elias I, Zoga AC, Morrison WB, Besser MP, Schweitzer ME, Raikin SM. Osteochondral lesions of the talus: localization and morphologic data from 424 patients using a novel anatomical grid scheme. Foot Ankle Int. 2007;28(2):154-161.
16. Becher C, Thermann H. Results of microfracture in the treatment of articular cartilage defects of the talus. Foot Ankle Int. 2005;26(8):583-589.
17. Lee KB, Kai LB, Chung JY, Seon JK. Arthroscopic microfracture for osteochondral lesions of the talus. Knee Surg Sports Tramatol Arthrosc. Epub 2009 Sep 25.
18. Schuman L, Strujis PA, van Dijk CN. Arthroscopic treatment for osteochondral defects of the talus: results at follow-up at 2 to 11 years. J Bone Joint Surg Br. 2002;84(3):364-368.
19. Van Buecken K, Barrack RL, Alexander AH, Ertl JP. Arthroscopic treatment of transchondral talar dome fractures. Am J Sports Med. 1989;17(3):350-355, discussion 355-6.
20. Gobbi A, Francisco RA, Lubowitz JH, Allegra F, Canata G. Osteochondral lesions of the talus: randomized controlled trial comparing chondroplasty, microfracture, and osteochondral autograft transplantation. Arthroscopy. 2006; 22(10): 1086-1092.
21. Ferkel RD, Zanotti RM, Komenda GA, Sgaglione NA, Cheng MS, Applegate GR, et al. Arthroscopic treatment of chronic osteochondral lesions of the talus: long-term results. Am J Sports Med. 2008;36(9):1750-1762.
22. Becher C, Driessen A, Hess T, Longo UG, Maffulli N, Thermann H. Microfracture for chondral defects of the talus: maintenance of early results at midterm follow-up. Knee Surg Sports Traumatol Arthrosc. 2010;18(5):656-663.
23. McNickle AG, L'Heureux DR, Yanke AB, Cole BJ. Outcomes of autologous chondrocyte implantation in a diverse patient population. Am J Sports Med. 2009;37:1344-1350.
24. Minas T, Gomoll AH, Rosenberger R, Royce RO, Bryant T. Increased failure rate of autologous chondrocyte implantation after previous treatment with marrow stimulation techniques. Am J Sports Med. 2009;37:902-908.
25. Gomoll AH, Madry H, Knutsen G, van Dijk N, Seil R, Brittberg M, et al. The subchondral bone in articular cartilage repair: current problems in the surgical management. Knee Surg Sports Traumatol Arthrosc. 2010;18(4):434-447.
26. Garras DN, Santangelo JA, Wang DW, Easley ME. A quantitative comparison of surgical approaches for posterolateral osteochondral lesions of the talus. Foot Ankle Int. 2008;29(4):415-420.
27. Kock NB, Van Susante JL, Buma P, Van Kampen A, Verdonschot N. Press-fit stability of an osteochondral autograft: influence of different plug length and perfect depth alignment. Acta Orthop. 2006;77(3):422-428.
28. Gulotta LV, Rudzki JR, Kovacevic D, Chen CC, Milentijevic D, Williams RJ 3rd. Chondrocyte death and cartilage degradation after autologous osteochondral transplantation surgery in a rabbit model. Am J Sports Med. 2009; 37(7):1324-1333.
29. Kang RW, Friel NA, Williams JM, Cole BJ, Wimmer MA. Effect of impaction sequence on osteochondral graft damage: the role of repeated and varying loads. Am J Sports Med. 2010;38(1):105-113.
30. Hangody L, Dobos J, Baló E, Pánics G, Hangody LR, Berkes I. Clinical experiences with autologous osteochondral mosaicplasty in an athletic population: a 17-year prospective multicenter study. Am J Sports Med. 2010; 38(6): 1125-1133.
31. Hangody L, Rathonyi GK. Mosaicplasty in active sportsmen. Sportorthopadie Sporttraumatologie. 2004;20:159-164.
32. LaPrade RF, Botker JC. Donor-site morbidity after osteochondral autograft transfer procedures. Arthroscopy. 2004; 20(7):e69-73.
33. Paul J, Sagstetter A, Kriner M, Imhoff AB, Spang J, Hinterwimmer S. Donor-site morbidity after osteochondral autologous transplantation for lesions of the talus. J Bone Joint Surg Am. 2009;91(7):1683-1688.
34. Hangody L, Füles P. Autologous osteochondral mosaicplasty for the treatment of full-thickness defects of weight-bearing joints: ten years of experimental and clinical experience. J Bone Joint Surg Am. 2003;85-A Suppl 2:25-32.
35. Navid DO, Myerson MS. Approach alternatives for treatment of osteochondral lesions of the talus. Foot Ankle Clin. 2002;7:635-649.
36. Ray RB, Coughlin EJ. Osteochondritis dissecans of the talus. J Bone Jt Surg. 1947;29:697-710.
37. Spatt JF, Frank NG, Fox IM. Transchondral fractures of the dome of the talus. J Foot Surg. 1986;25:68-72.
38. Alexander IJ, Watson JT. Step-cut osteotomy of the medial malleolus for exposure of the medial ankle joint space. Foot Ankle. 1991;11:242-243.
39. Bazaz R, Ferkel RD. Treatment of osteochondral lesions of the talus with autologous chondrocyte implantation. Tech Foot Ankle Surg. 2004;3:45-52.
40. Gaulrapp H, Hagena FW, Wasmer G. Die postoperative bewertung der osteochondrosis dissecans tali unter besonderer berücksichtigungder innenknöchelosteotomie. Z Orthop Ihre Grenzgeb. 1996;134:346-353.
41. Jarde O, Trinquier-Lautard JL, Garate F, De LM, Vives P. Osteochondral lesions of the talar dome: surgical treatment in a series of 30 cases. Rev Chir Orthop Reparatrice Appar Mot. 2000;86:608-615.