AI Article Synopsis
- * The choice of treatment depends on factors such as lesion size, shape, location, and presence of cysts, with osteochondral fragment fixation being particularly beneficial as it maintains the original cartilage and bone structure.
- * Recent studies indicate that fixation for OLT is effective for both acute and chronic lesions, even expanding to include smaller-sized lesions with positive clinical results.
Article Abstract
Osteochondral lesions of the talus (OLT) involve the subchondral bone and the overlying articular cartilage. Various surgical treatments for these lesions are available, such as bone marrow stimulation (BMS), autologous osteochondral grafting, and fixation of an osteochondral fragment. Treatment choice depends on the condition of the lesion, which includes lesion size, morphology, location, and the presence of cysts. Among the surgical procedures available to date, fixation of the osteochondral fragment has the advantage of restoring the articular surface while preserving the native hyaline cartilage and its subchondral bone. Fixation for OLT has been shown to be clinically successful for the treatment of both acute and chronic lesions. Moreover, the indication for osteochondral fragment fixation is expanding as recent studies have found good clinical outcomes in relatively small-sized lesions. The present article describes the current evidence on fixation for acute and chronic OLT.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556605 | PMC |
| http://dx.doi.org/10.1177/19476035241280072 | DOI Listing |
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