[Results of fixation of osteochondral lesions of the talus using K-wires].
BACKGROUND
Etiology of osteochondral lesions of the talus remains uncertain, a myriad of treatment options exists. The purpose of this study is to evaluate the clinical and radiological results of fixation of osteochondral lesions of the talus using K-wires. An unstable osteochondral fragment or osteosclerotic changes in the bed of the talus were regarded as indications for the procedure.


METHODS
We report a retrospective study of 20 patients who underwent fixation of osteochondritis dissecans of the talus between 1.1.1995 and 31.12.2000. There were 14 men and 6 women. The average age was 18 years (range, 11 to 52 years). The average duration of symptoms prior to surgery was 30 weeks (range, 8 to 100 weeks).


RESULTS
The average duration of follow-up was 46 months (range, 18 to 93 months). The overall clinical result was rated good in 4 cases and excellent in 16 cases according to the Ogilvie-Harris score. There were no surgical complications. All osteochondral lesions healed.


CONCLUSIONS
Using K-wires for fixation of osteochondral lesions of the talus repair of the articular surface and stability of the lesion can be achieved even in unstable chronic lesions.
Schuh
A
A
Abteilung für Kinderorthopädie der Orthopädischen Klinik Rummelsberg, Schwarzenbruck. schuh-alexander@t-online.de
Salminen
S
S
Zeiler
G
G
Schraml
A
A
D000293:Adolescent; D000328:Adult; D001864:Bone Wires; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010008:Osteochondritis Dissecans / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011859:Radiography; D012189:Retrospective Studies; D013628:Talus / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome