Surgical treatment of talar osteo-chondral lesions with micro-fractures, mesenchymal cells grafting on membrane, or allograft: Mid-term clinical and magnetic resonance assessment

Leonardo Puddu; Fabiana Altamore; Alessandro Santandrea; Domenico Mercurio; Gianfilippo Caggiari; Sabino Della Sala; Alessandro Marinetti; Francesco Tessarolo; Marta Rigoni; Andrea Fabio Manunta; Fabrizio Cortese

doi:10.1016/j.jor.2020.08.012

Surgical treatment of talar osteo-chondral lesions with micro-fractures, mesenchymal cells grafting on membrane, or allograft: Mid-term clinical and magnetic resonance assessment

J Orthop. 2020 Aug 20:21:416-420. doi: 10.1016/j.jor.2020.08.012. eCollection 2020 Sep-Oct.

Affiliations

¹ Orthopedic Department, Rovereto-Arco Hospital, Rovereto, Italy.
² Orthopedic Department, University of Sassari, Sassari, Italy.
³ Radiology Department, Rovereto-Arco Hospital, Rovereto, Italy.
⁴ Department of Industrial Engineering, University of Trento, Trento, Italy.
⁵ Healthcare Research and Innovation Program (IRCS-FBK-PAT), Bruno Kessler Foundation, Trento, Italy.

Abstract

Talar dome osteo-chondral lesions (OCL) are defects of the cartilaginous surface and subchondral bone often associated with sport practice. This retrospective observational work has the purpose of assessing: a) The clinical outcomes in the patients study group and in the three sub-groups; b) medium-term morphological and qualitative outcomes of the newly formed tissue by magnetic resonance imaging; c) if there is the correlation between new formed tissue clinical, morphological RM evaluation and qualitative clinical outcomes.

Keywords: Allograft; Autologous chondrocytes implantation; Drilling; Osteochondral lesions.