Long-term outcome for repair of osteochondral lesions of the talus by osteochondral autograft: A series of 56 Mosaicplasties® - 30/11/21
, Thomas Amouyel b, Didier Mainard c, Ronny Lopes d, Guillaume Cordier e, Nicolas Baudrier f, Jonathan Benoist g, Victor Dubois Ferrière h, Fréderic Leiber i, Antoine Morvan f, Carlos Maynou b, Giovany Padiolleau d, Olivier Barbier jthe Francophone Arthroscopy Society (SFA)k
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Abstract |
Introduction |
The present study analyzed results in 56 osteochondral Mosaicplasty® autografts for osteochondral lesion of the talus (OLT) at more than 5 years’ follow-up.
Hypothesis |
Mosaicplasty® shows long-term efficacy and low morbidity in the treatment of OLT.
Patients and methods |
A multicenter retrospective study included patients treated by Mosaicplasty® with more than 5 years’ follow-up. Preoperative data were collected from medical files, and all patients were reassessed. AOFAS scores and FAOS were calculated at last follow-up. Imaging comprised standard radiographs and MRI or CT arthrography of the ankle.
Results |
Fifty-six patients were included, with a mean age of 34 years (range, 18-60 years). Seventeen involved work accidents. Mean follow-up was 8.5 years (range, 5-20 years). Mean AOFAS score at follow-up was 80.6±19.4 and mean FAOS 77.8±21.5. Work accident, preoperative osteoarthritis and untreated laxity correlated significantly with poorer results. At last follow-up, 22 patients (39%) showed signs of osteoarthritis. There was no morbidity implicating the malleolar osteotomy. There were 11 cases (20%) of persistent patellar syndrome at the donor site.
Discussion |
The present results were comparable to those reported elsewhere, showing that functional results of Mosaicplasty® autograft for OLT do not deteriorate over the long term. Work accidents correlated significantly with poorer functional outcome. Any associated instability must always be treated. Malleolar osteotomy provides good exposure without additional morbidity.
Level of evidence |
IV; retrospective study.
Le texte complet de cet article est disponible en PDF.Keywords : Mosaicplasty®, Talus, Osteochondral lesion
Plan
Vol 107 - N° 8S
Article 103075- décembre 2021 Retour au numéro
Article précédent
- Osteochondral lesion of the talus: What are we talking about?
- Olivier Barbier, Thomas Amouyel, Nicolas de l’Escalopier, Guillaume Cordier, Nicolas Baudrier, Jonathan Benoist, Victor Dubois-Ferrière, Frédéric Leiber, Antoine Morvan, Didier Mainard, Carlos Maynou, Giovany Padiolleau, Ronny Lopes, Francophone Arthroscopy Society (SFA)
- Safety of malleolar osteotomies in surgery for osteochondral lesions of the talus
- Giovany Padiolleau, Thomas Amouyel, Olivier Barbier, Nicolas De L’Escalopier, Guillaume Cordier, Nicolas Baudrier, Jonathan Benoist, Victor Dubois-Ferrière, Frédéric Leiber, Antoine Morvan, Didier Mainard, Carlos Maynou, Ronny Lopes, Francophone Arthroscopy Society (SFA)
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