Osteochondral lesions of the talus: Effect of defect size and plantarflexion angle on ankle joint stresses

American Journal of Sports Medicine

Volumn 40, Issue 4, 2012, Pages 895-901

  Hunt, Kenneth J ^a   Lee, Arthur T ^a   Lindsey, Derek P ^b   Slikker, William ^a   Chou, Loretta B ^a  

^a STANFORD UNIVERSITY   (United States)

^b VA PALO ALTO HEALTH CARE SYSTEM   (United States)

Author keywords

ankle joint; cartilage; osteochondral defect; pressure sensor; talus

Indexed keywords

ANKLE; ARTICLE; BIOMECHANICS; CADAVER; CHONDROPATHY; FEMALE; HUMAN; JOINT CHARACTERISTICS AND FUNCTIONS; MALE; MECHANICAL STRESS; PATHOLOGY; PHYSIOLOGY; TALUS;

ANKLE JOINT; BIOMECHANICS; CADAVER; CARTILAGE DISEASES; FEMALE; HUMANS; MALE; RANGE OF MOTION, ARTICULAR; STRESS, MECHANICAL; TALUS;

EID: 84859487424     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546511434404     Document Type: Article

References (31)

1. Angermann P, Jensen P. Osteochondritis dissecans of the talus: long-term results of surgical treatment. Foot Ankle. 1989 ; 10: 161-163 (Pubitemid 20072329)
2. Bauer M, Jonsson K, Linden B. Osteochondritis dissecans of the ankle: a 20-year follow-up study. J Bone Joint Surg Br. 1987 ; 69: 93-96 (Pubitemid 17098518)
3. Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 1959 ; 41: 988-1020
4. Bosien WR, Staples OS, Russell SW. Residual disability following acute ankle sprains. J Bone Joint Surg Am. 1955 ; 37: 1237-1243
5. Brown TD, Pope DF, Hale JE, Buckwalter JA, Brand RA. Effects of osteochondral defect size on cartilage contact stress. J Orthop Res. 1991 ; 9: 559-567
6. Calhoun JH, Li F, Ledbetter BR, Viegas SF. A comprehensive study of pressure distribution in the ankle joint with inversion and eversion. Foot Ankle Int. 1994 ; 15: 125-133 (Pubitemid 24102397)
7. 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: 1974-1980
8. Drewniak EI, Crisco JJ, Spenciner DB, Fleming BC. Accuracy of circular contact area measurements with thin-film pressure sensors. J Biomech. 2007 ; 40: 2569-2572 (Pubitemid 47081030)
9. Elias I, Jung JW, Raikin SM, Schweitzer MW, Carrino JA, Morrison WB. Osteochondral lesions of the talus: change in MRI findings over time in talar lesions without operative intervention and implications for staging systems. Foot Ankle Int. 2006 ; 27: 157-166
10. 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: 154-161 (Pubitemid 46185001)
11. Fitzpatrick DC, Otto JK, McKinley TO, Marsh JL, Brown TD. Kinematic and contact stress analysis of posterior malleolus fractures of the ankle. J Orthop Trauma. 2004 ; 18: 271-278 (Pubitemid 38714552)
12. Flick AB, Gould N. Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions. Foot Ankle. 1985 ; 5: 165-185 (Pubitemid 15149604)
13. Giannini S, Vannini F. Operative treatment of osteochondral lesions of the talar dome: current concepts review. Foot Ankle Int. 2004 ; 25: 168-175 (Pubitemid 39096186)
14. Guettler JH, Demetropoulos CK, Yang KH, Jurist KA. Osteochondral defects in the human knee: influence of defect size on cartilage rim stress and load redistribution to surrounding cartilage. Am J Sports Med. 2004 ; 32: 1451-1458 (Pubitemid 39100886)
15. 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: 296-300
16. Huber-Betzer H, Brown TD, Mattheck C. Some effects of global joint morphology on local stress aberrations near imprecisely reduced intra-articular fractures. J Biomech. 1990 ; 23: 811-822 (Pubitemid 20313455)
17. Knupp M, Stufkens SA, van Bergen CJ, et al. Effect of supramalleolar varus and valgus deformities on the tibiotalar joint: a cadaveric study. Foot Ankle Int. 2011 ; 32: 609-615
18. Kock NB, Smolders JM, van Susante JL, Buma P, van Kampen A, Verdonschot N. A cadaveric analysis of contact stress restoration after osteochondral transplantation of a cylindrical cartilage defect. Knee Surg Sports Traumatol Arthrosc. 2008 ; 16: 461-468
19. Koulalis D, Schultz W, Heyden M. Autologous chondrocyte transplantation for osteochondritis dissecans of the talus. Clin Orthop Relat Res. 2002 ; 395: 186-192 (Pubitemid 34136671)
20. Lee CH, Chao KH, Huang GS, Wu SS. Osteochondral autografts for osteochondritis dissecans of the talus. Foot Ankle Int. 2003 ; 24: 815-822
21. McCullough CJ, Venugopal V. Osteochondritis dissecans of the talus: the natural history. Clin Orthop Relat Res. 1979 ; 144: 264-268
22. McGahan PJ, Pinney SJ. Current concept review: osteochondral lesions of the talus. Foot Ankle Int. 2010 ; 31: 90-101
23. Nelson BH, Anderson DD, Brand RA, Brown TD. Effect of osteochondral defects on articular cartilage: contact pressures studied in dog knees. Acta Orthop Scand. 1988 ; 59: 574-579 (Pubitemid 18264560)
24. Papaioannou G, Demetropoulos CK, King YH. Predicting the effects of knee focal articular surface injury with a patient-specific finite element model. Knee. 2010 ; 17: 61-68
25. Ramsey PL, Hamilton W. Changes in tibiotalar area of contact caused by lateral talar shift. J Bone Joint Surg Am. 1976 ; 58: 356-357
26. Sammarco GJ, Makwana NK. Treatment of talar osteochondral lesions using local osteochondral graft. Foot Ankle Int. 2002 ; 23: 693-698
27. Schachter AK, Chen AL, Reddy PD, Tejwani NC. Osteochondral lesions of the talus. J Am Acad Orthop Surg. 2005 ; 13: 152-158
28. Stone JW. Osteochondral lesions of the talar dome. J Am Acad Orthop Surg. 1996 ; 4: 63-73
29. Tol JL, Struijs PA, Bossuyt PM, Verhagen RA, van Dijk CN. Treatment strategies in osteochondral defects of the talar dome: a systematic review. Foot Ankle Int. 2000 ; 21: 119-126 (Pubitemid 30094370)
30. van Dijk CN, Reilingh ML, Zengerink M, van Bergen CJ. Osteochondral defects in the ankle: why painful?. Knee Surg Sports Traumatol Arthrosc. 2010 ; 18: 570-580
31. Zengerink M, Struijs PA, Tol JL, van Dijk CN. Treatment of osteochondral lesions of the talus: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2010 ; 18: 238-246