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Autologous Chondrocyte Implantation as a Secondary Procedure after Failed Microfracture for Osteochondral Lesion of Talus

거골 골연골 병변에 대한 미세 골절술 실패 후 2차 치료로서 자가연골 세포 이식술

  • Kim, Jin Su (Surgery of Foot and Ankle, Eulji General Hospital, Eulji University College of Medicine)
  • 김진수 (을지대학교 의과대학 을지병원 족부족관절정형외과)
  • Received : 2015.01.14
  • Accepted : 2015.02.09
  • Published : 2015.03.15

Abstract

Microfracture as a reparative strategy is the treatment of choice for an osteochondral lesion of talus. Although the results of microfracture are generally excellent, at least 30% of patients who received microfracture have acute or chronic ankle pain with several or unknown causes. The most important factor for unsatisfactory outcome after microfracture is the size of the lesion. For failed osteochondral lesion of talus, the second options are autologous osteochondral graft, autologous chondrocyte implantation, or re-microfracture. In this article, we present the autologous chondrocyte implantation as a second procedure for failed microfracture and compare its clinical outcome with other methods based on a literature review.

Keywords

References

  1. Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 1959;41:988-1020. https://doi.org/10.2106/00004623-195941060-00002
  2. Lee KT, Young KW, Lee YK, Park SY, Jang MS. Results in conservative treatment of osteochondral lesion of talus. J Korean Foot Ankle Soc. 2008;12:145-9.
  3. Anderson IF, Crichton KJ, Grattan-Smith T, Cooper RA, Brazier D. Osteochondral fractures of the dome of the talus. J Bone Joint Surg Am. 1989;71:1143-52. https://doi.org/10.2106/00004623-198971080-00004
  4. Lee KB, Bai LB, Yoon TR, Jung ST, Seon JK. Second-look arthroscopic findings and clinical outcomes after microfracture for osteochondral lesions of the talus. Am J Sports Med. 2009;37Suppl 1:63S-70S. https://doi.org/10.1177/0363546509348471
  5. Gobbi A, Francisco RA, Lubowitz JH, Allegra F, Canata G. Osteochondral lesions of the talus: randomized controlled trial comparing chondroplasty, microfracture, and osteochondral autograft transplantation. Arthroscopy. 2006;22:1085-92. https://doi.org/10.1016/j.arthro.2006.05.016
  6. Choi WJ, Park KK, Kim BS, Lee JW. Osteochondral lesion of the talus: is there a critical defect size for poor outcome? Am J Sports Med. 2009;37:1974-80. https://doi.org/10.1177/0363546509335765
  7. Savva N, Jabur M, Davies M, Saxby T. Osteochondral lesions of the talus: results of repeat arthroscopic debridement. Foot Ankle Int. 2007;28:669-73. https://doi.org/10.3113/FAI.2007.0669
  8. Georgiannos D, Bisbinas I, Badekas A. Osteochondral transplantation of autologous graft for the treatment of osteochondral lesions of talus: 5- to 7-year follow-up. Knee Surg Sports Traumatol Arthrosc. Published onlin October 19, 2014; doi: 10.1007/s00167-014-3389-3.
  9. McGahan PJ, Pinney SJ. Current concept review: osteochondral lesions of the talus. Foot Ankle Int. 2010;31:90-101. https://doi.org/10.3113/FAI.2010.0090
  10. Robinson P, White LM. Soft-tissue and osseous impingement syndromes of the ankle: role of imaging in diagnosis and management. Radiographics. 2002;22:1457-69; discussion 1470-1. https://doi.org/10.1148/rg.226025034
  11. Hannon CP, Smyth NA, Murawski CD, Savage-Elliott I, Deyer TW, Calder JD, et al. Osteochondral lesions of the talus: aspects of current management. Bone Joint J. 2014;96-B:164-71. https://doi.org/10.1302/0301-620X.96B2.31637
  12. Loveday D, Clifton R, Robinson A. Interventions for treating osteochondral defects of the talus in adults. Cochrane Database Syst Rev. 2010;(8):CD008104.
  13. Ogilvie-Harris DJ, Sarrosa EA. Arthroscopic treatment after previous failed open surgery for osteochondritis dissecans of the talus. Arthroscopy. 1999;15:809-12. https://doi.org/10.1053/ar.1999.v15.0150802
  14. Dragoni M, Bonasia DE, Amendola A. Osteochondral talar allograft for large osteochondral defects: technique tip. Foot Ankle Int. 2011;32:910-6. https://doi.org/10.3113/FAI.2011.0910
  15. Yoon HS, Park YJ, Lee M, Choi WJ, Lee JW. Osteochondral autologous transplantation is superior to repeat arthroscopy for the treatment of osteochondral lesions of the talus after failed primary arthroscopic treatment. Am J Sports Med. 2014;42:1896-903. https://doi.org/10.1177/0363546514535186
  16. Lee KT, Kim JS, Young KW, Lee YK, Park YU, Kim YH, et al. The use of fibrin matrix-mixed gel-type autologous chondrocyte implantation in the treatment for osteochondral lesions of the talus. Knee Surg Sports Traumatol Arthrosc. 2013;21:1251-60. https://doi.org/10.1007/s00167-012-2096-1
  17. Kim YS, Park EH, Kim YC, Koh YG, Lee JW. Factors associated with the clinical outcomes of the osteochondral autograft transfer system in osteochondral lesions of the talus: second-look arthroscopic evaluation. Am J Sports Med. 2012;40:2709-19. https://doi.org/10.1177/0363546512461132
  18. Giannini S, Buda R, Ruffilli A, Cavallo M, Pagliazzi G, Bulzamini MC, et al. Arthroscopic autologous chondrocyte implantation in the ankle joint. Knee Surg Sports Traumatol Arthrosc. 2014;22:1311-9. https://doi.org/10.1007/s00167-013-2640-7
  19. Niemeyer P, Salzmann G, Schmal H, Mayr H, Sudkamp NP. Autologous chondrocyte implantation for the treatment of chondral and osteochondral defects of the talus: a meta-analysis of available evidence. Knee Surg Sports Traumatol Arthrosc. 2012;20:1696-703. https://doi.org/10.1007/s00167-011-1729-0
  20. Minas T, Gomoll AH, Rosenberger R, Royce RO, Bryant T. Increased failure rate of autologous chondrocyte implantation after previous treatment with marrow stimulation techniques. Am J Sports Med. 2009;37:902-8. https://doi.org/10.1177/0363546508330137