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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 3, 364-368.
doi: 10.1302/0301-620X.84B3.11723  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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Arthroscopic treatment for osteochondral defects of the talus

RESULTS AT FOLLOW-UP AT 2 TO 11 YEARS

L. Schuman, MD; P. A. A. Struijs, MSc; and C. N. van Dijk, PhD

Department of Orthopaedic Surgery, Academic Medical Centre, University of Amsterdam, PO Box 22700, 1105 AZ Amsterdam, The Netherlands.

Correspondence should be sent to Dr C. N. van Dijk.

We reviewed 38 patients who had been treated for anosteochondral defect of the talus by arthroscopic curettage and drilling. The indication for surgical treatment was persistent symptoms after conservative treatment for at least six months. A total of 22 patients had received primary surgical treatment (primary group) and 16 had had failed previous surgery (revision group). The mean follow-up was 4.8 years (2 to 11).

Good or excellent results, as assessed by the Ogilvie-Harris score, were found in 86% in the primary group and in 75% in the revision group. Two further procedures were required, one in each group. Radiological degenerative changes were seen in one ankle in the revision group after ten years.

Arthroscopic curettage and drilling are recommended for both primary and revision treatment of an osteochondral defect of the talus.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General