osteochondral defect tibial plafond

Wednesday, December 23rd, 2020

Utilizing standard anteromedial and anterolateral portals, a diagnostic evaluation should be performed as described by Ferkel to evaluate for associated pathologies [, Arthroscopic view of OLTP in the central plafond, OLTP post debridement of unstable cartilage. Knee Surg Sports Traumatol Arthrosc. Osteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. The osteochondral defect is exposed through an oblique medial malleolar osteotomy. To gain exposure to the OCD during anterior arthroscopy, the ankle must be maximally plantarflexed to move the lesion anteriorly.424,432 However, some defects located in the posterior part of the talus may not be accessible by anterior arthroscopy.296,408 Especially if the OCD is located posteriorly and COVID-19 is an emerging, rapidly evolving situation. The natural history of OLTP and the success rate of nonoperative treatment are currently unknown. After creating the osteochondral defect, drilling was performed. Osteochondritis dissecans (OCD or OD) is a joint disorder primarily of the subchondral bone in which cracks form in the articular cartilage and the underlying subchondral bone. Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. The tibial articular cartilage on the tibial plafond had also healed without articular surface defects. (2) It can fill massive (>3 cm 2) defects that are not amenable to autograft techniques [12, 13]. 2018 Jul;26(7):2116-2122. doi: 10.1007/s00167-017-4591-x. Osteochondral lesions of the tibial plafond (OLTP) are rare disorder compared with osteochondral lesions of the talus (OLT), and its frequency is 2.6% of osteochondral lesions of the ankle.1Tibial plafond has the following anatomical characteristics that lead resistance to cartilage damage: tibial cartilage is stiffer and thicker than talar cartilage,2, 3and there is a stable concave shape of the articular surface of the distal … Methods: He had a malunited posterome-dial tibial plafond fragment, while the posterolateral and fibular fractures were anatomically healed. Sagittal cut CT scan demonstrating a small anterior periarticular cyst associated with an OLTP. Abstract: Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. Conclusions: Methods: A retrospective review was conducted for patients who underwent arthroscopic microfracture surgery for osteochondral lesions of the tibial plafond from January 2014 to June 2017. 2019 Aug 1;8(8):e875-e881. On MR imaging, osteochondral defect of the tibial plafond has low signal intensity on T1-weighted images and high signal intensity on T2-weighted images, with adjacent bone marrow edema (Figs. Literature data do not report clinical records with significant number of cases and follow-up. Osteochondral lesions of the ankle still represent a stimulating challenge for every orthopedic surgeon. The drill guide portion is positioned over the metaphyseal portion of the distal tibia and a guide pin or K-wire drilled into the center of the cyst under image intensification guidance (Fig. 3A. OCD usually causes pain during and after sports. Introduction The majority of osteochondral lesions (OCLs) of the ankle occur in the talus. MRI scan - osteochondral lesion on the talus … A topographic study was also performed. Osteochondral defects (OCDs) are very localised areas of joint damage which can occur in a number of different joints , not just the ankle. Main sport surfing. Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. Of these, only one was a … There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. Ankle; BMDCT; Cartilage; OLTP; Osteochondral lesions. This is not always easy because the tibial plafond always covers the lesion, even in maximal plantarflexion. Knee Surg Sports Traumatol Arthrosc. When left untreated, however, osteochondral Arthroscopic treatment of osteochondral lesions of the distal tibia. Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid. RESULTS: A total of 13 patients were included. The debrided lesion is located arthroscopically with the ball tip of a microvector guide. Bone defects after septic arthritis of the ankle joint result in arthrodesis and severe loss of ankle motion. A retrospective review was conducted for patients who underwent arthroscopic microfracture surgery for osteochondral lesions of the tibial plafond from January 2014 to June 2017. Foot Ankle Int. Literature data do not report clinical records with significant number of cases and follow-up. Tibial OCL . USA.gov. Tibial Plafond Osteochondral Lesion.OrthopaedicsOne Cases.In: OrthopaedicsOne - The Orthopaedic Knowledge Network.Created Feb 10, 2011 07:46. All the patients were satisfied with the procedure.  |  The “classical” defect involves a disruption of both the bone (osteo) and cartilage (chondral) .They usually occur on the Talus if effecting the ankle joint and are a region where the cartilage and underlying bone have been disrupted. Osteochondral lesions of the distal tibia represent a challenge for the orthopedic surgeon because of their difficulty diagnostic and rarities. Objectives: Associated cysts should be curetted or shaved, while larger cysts should be packed with bone graft. The advent of CT and MR scanning has shown that they are commoner and more complex than was thought. The high incidence of good outcome in our series indicates that the one-step BMDCT could be a valid option for the treatment of this rare type of lesions. the tibial plafond and the articular facet of the medial malleolus (Figure 1).40,167,281,350,351,413 The optimal angle has been determined to be 30° in relation to the long tibial axis. We report the case of a 17-year-old male patient with large osteochondral defects in the distal tibia plafond after septic arthritis, in whom iliac … The duration of nonoperative treatment is not well defined and should include input from the patient. [Arthroscopic treatment of chondral lesions of the ankle joint. Most OLTP can be surgically managed arthroscopically. The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. Osteochondral Defects . 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