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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 3, 369-374.
doi: 10.1302/0301-620X.84B3.12373  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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Fixation of osteochondral lesions of the talus using cortical bone pegs

T. Kumai, MD, PhD, Clinical Fellow1; Y. Takakura, MD, PhD, Professor Chairman1; C. Kitada, MD, PhD, Director2; Y. Tanaka, MD, PhD, Clinical Fellow1; and K. Hayashi, MD, Clinical Fellow1

1 Nara Medical University, 840 Shijyo-cho, Kashihara, Nara 634-8522, Japan.
2 Department of Orthopaedic Surgery, Higashi Osaka City General Hospital, 3-4-5 Nishi-iwata, Higashiosaka 578-8588, Japan.

Correspondence should be sent to Dr T. Kumai.

We have treated osteochondral lesions of the talus using cortical bone pegs. We examined 27 ankles (27 patients) after a mean follow-up of 7.0 years (2 to 18.8). The mean age of the patients was 27.8 years (12 to 62). An unstable osteochondral fragment or osteosclerotic changes in the bed of the talus were regarded as indications for the procedure.

The clinical results were good in 24 ankles (89%) and fair in three (11%); none had a poor result. There was also radiological improvement in 24 ankles. Repair of the articular surface and stability of the lesion can be achieved even in unstable chronic lesions.






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