Anwander, Helen; Vetter, Philipp; Kurze, Christophe; Farn, Chui J; Krause, Fabian G (2022). Evidence for operative treatment of talar osteochondral lesions: a systematic review. EFORT open reviews, 7(7), pp. 460-469. European Federation of National Associations of Orthopaedics and Traumatology (EFFORT) 10.1530/EOR-21-0101
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Purpose
Operative treatment of talar osteochondral lesions is challenging with various treatment options. The aims were (i) to compare patient populations between the different treatment options in terms of demographic data and lesion size and (ii) to correlate the outcome with demographic parameters and preoperative scores.
Methods
A systemic review was conducted according to the PRISMA guidelines. The electronic databases Pubmed (MEDLINE) and Embase were screened for reports with the following inclusion criteria: minimum 2-year follow-up after operative treatment of a talar osteochondral lesion in at least ten adult patients and published between 2000 and 2020.
Results
Forty-five papers were included. Small lesions were treated using BMS, while large lesions with ACI. There was no difference in age between the treatment groups. There was a correlation between preoperative American Orthopaedic Foot and Ankle Society (AOFAS) score and change in AOFAS score (R = -0.849, P < 0.001) as well as AOFAS score at follow-up (R = 0.421, P = 0.008). Preoperative size of the cartilage lesion correlates with preoperative AOFAS scores (R= -0.634, P = 0.001) and with change in AOFAS score (R = 0.656, P < 0.001) but not with AOFAS score at follow-up. Due to the heterogeneity of the studies, a comparison of the outcome between the different operative techniques was not possible.
Conclusion
Patient groups with bigger lesions and inferior preoperative scores did improve the most after surgery.
Level of evidence
IV.
Item Type: |
Journal Article (Review Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery |
UniBE Contributor: |
Anwander, Helen, Kurze, Christophe, Krause, Fabian |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2058-5241 |
Publisher: |
European Federation of National Associations of Orthopaedics and Traumatology (EFFORT) |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
02 Aug 2022 08:00 |
Last Modified: |
05 Dec 2022 16:22 |
Publisher DOI: |
10.1530/EOR-21-0101 |
PubMed ID: |
35900197 |
Uncontrolled Keywords: |
operative treatment osteochondral lesion systematic review talus |
BORIS DOI: |
10.48350/171630 |
URI: |
https://boris.unibe.ch/id/eprint/171630 |
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