Osteochondral Lesions of the Talus: Few Patients Require Surgery
Category: Ankle, Ankle Arthritis Introduction/Purpose: The frequency of progression of osteoarthritis and persistence of symptoms in untreated osteochondral lesion of the talus (OCL) is not well known. We report the outcome of a nonoperative treatment for symptomatic OCL. Methods: This study include...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2019-10-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011419S00059 |
| _version_ | 1819054276239949824 |
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| author | Seung-Hwan Park Sang Gyo Seo MD, MS Ho Seong Lee MD |
| author_facet | Seung-Hwan Park Sang Gyo Seo MD, MS Ho Seong Lee MD |
| author_sort | Seung-Hwan Park |
| collection | DOAJ |
| description | Category: Ankle, Ankle Arthritis Introduction/Purpose: The frequency of progression of osteoarthritis and persistence of symptoms in untreated osteochondral lesion of the talus (OCL) is not well known. We report the outcome of a nonoperative treatment for symptomatic OCL. Methods: This study included 142 patients with OCLs from 2003 to 2013. The patients did not undergo immobilization and had no restrictions of physical activities. The mean follow-up time was 6 (3–10) years. Initial MRI and CT confirmed OCL and showed lesion size, location, and stage of the lesion. Progression of osteoarthritis was evaluated by standing radiographs. In 83 patients, CT was performed at the final follow-up for analyses of the lesion size. We surveyed patients for limitations of sports activity, and Visual Analogue Scales (VAS), AOFAS, and SF-36 were assessed. Results: No patients had progression of osteoarthritis. The lesion size as determined by CT did not change in 69/83 patients, decreased in 5, and increased in 9. The mean VAS score of the 142 patients decreased from 3.8 to 0.9 (p < 0.001), the mean AOFAS ankle–hindfoot score increased from 86 to 93 (p < 0.001), and the mean SF-36 score increased from 52 to 72 (p < 0.001). Only 9 patients reported limitations of sports activity. The size and location of the lesion did not correlate with any of the outcome scores. Conclusion: Nonoperative treatment can be considered a good option for patients with OCL. |
| first_indexed | 2024-12-21T12:49:03Z |
| format | Article |
| id | doaj.art-e1e9007c6e5a46228aaa452c479b9ecc |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-21T12:49:03Z |
| publishDate | 2019-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-e1e9007c6e5a46228aaa452c479b9ecc2022-12-21T19:03:32ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142019-10-01410.1177/2473011419S00059Osteochondral Lesions of the Talus: Few Patients Require SurgerySeung-Hwan ParkSang Gyo Seo MD, MSHo Seong Lee MDCategory: Ankle, Ankle Arthritis Introduction/Purpose: The frequency of progression of osteoarthritis and persistence of symptoms in untreated osteochondral lesion of the talus (OCL) is not well known. We report the outcome of a nonoperative treatment for symptomatic OCL. Methods: This study included 142 patients with OCLs from 2003 to 2013. The patients did not undergo immobilization and had no restrictions of physical activities. The mean follow-up time was 6 (3–10) years. Initial MRI and CT confirmed OCL and showed lesion size, location, and stage of the lesion. Progression of osteoarthritis was evaluated by standing radiographs. In 83 patients, CT was performed at the final follow-up for analyses of the lesion size. We surveyed patients for limitations of sports activity, and Visual Analogue Scales (VAS), AOFAS, and SF-36 were assessed. Results: No patients had progression of osteoarthritis. The lesion size as determined by CT did not change in 69/83 patients, decreased in 5, and increased in 9. The mean VAS score of the 142 patients decreased from 3.8 to 0.9 (p < 0.001), the mean AOFAS ankle–hindfoot score increased from 86 to 93 (p < 0.001), and the mean SF-36 score increased from 52 to 72 (p < 0.001). Only 9 patients reported limitations of sports activity. The size and location of the lesion did not correlate with any of the outcome scores. Conclusion: Nonoperative treatment can be considered a good option for patients with OCL.https://doi.org/10.1177/2473011419S00059 |
| spellingShingle | Seung-Hwan Park Sang Gyo Seo MD, MS Ho Seong Lee MD Osteochondral Lesions of the Talus: Few Patients Require Surgery Foot & Ankle Orthopaedics |
| title | Osteochondral Lesions of the Talus: Few Patients Require Surgery |
| title_full | Osteochondral Lesions of the Talus: Few Patients Require Surgery |
| title_fullStr | Osteochondral Lesions of the Talus: Few Patients Require Surgery |
| title_full_unstemmed | Osteochondral Lesions of the Talus: Few Patients Require Surgery |
| title_short | Osteochondral Lesions of the Talus: Few Patients Require Surgery |
| title_sort | osteochondral lesions of the talus few patients require surgery |
| url | https://doi.org/10.1177/2473011419S00059 |
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