Osteochondritis dissecans of the talus: long-term results of surgical treatment.
Twenty patients with osteochondritis dissecans of the ankle were reviewed for a clinical and radiographical follow-up 9 to 15 years after surgery including multiple drilling of the lesion combined with excision of loose fragments. The short-term results of surgery were satisfactory: 85 degrees of the patients were improved or cured. At follow-up, more than half of the patients had some degree of pain during activity, and swelling of the ankle, but only a few had locking or pain at rest. Only one of the 18 patients without osteoarthritis at the time of surgery had developed generalized osteoarthritis at the follow-up. Although the initial good results of surgery were demonstrated to deteriorate with time, the procedure can still be recommended in patients with longstanding symptoms.
Angermann
P
P
Department of Orthopedic Surgery, Central Hospital, Naestved, Denmark.
Jensen
P
P
D000293:Adolescent; D000328:Adult; D000843:Ankle Joint / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010007:Osteochondritis / Q000601:surgery*; D010008:Osteochondritis Dissecans / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D013628:Talus; D013997:Time Factors