title: Chondral and osteochondral reconstruction of local ankle degeneration.
abstract: Local cartilage or osteochondral degeneration of the ankle are common, painful posttraumatic conditions in young, sport-active patients. Conservative treatment of the acute initial stage of local cartilage or osteochondral damage might be indicated, but commonly fails in the presence of local or asymmetric osteoarthritic disease. Many surgical treatment methods are available for the orthopedic surgeon, which show satisfactory short-term to mid-term results. However, the scientific evidence for these procedures is weak. This article discusses the commonly used methods for cartilage and osteochondral repair and new upcoming methods, plus the role of concomitant disorders of the ankle joint.
authors.affiliation: Orthopaedic Department, University Hospital of Basel, Spitalstrasse 21, Basel 4031, Switzerland. mwiewiorski@uhbs.ch
authors.forename: Martin
authors.initials: M
authors.lastname: Wiewiorski
authors.forename: Alexej
authors.initials: A
authors.lastname: Barg
authors.forename: Victor
authors.initials: V
authors.lastname: Valderrabano
mesh_terms: D000843:Ankle Joint / Q000473:pathology / Q000601:surgery*; D002358:Cartilage, Articular / Q000473:pathology / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013628:Talus / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: Ankle; Cartilage; Osteoarthritis; Osteochondral lesion