scholarly journals 16.8 Osteochondral lesions of the talus: a new one-step arthroscopic procedure for the regeneration of hyaline articular cartilage

2007 ◽  
Vol 15 ◽  
pp. B74
Author(s):  
S. Giannini ◽  
R. Buda ◽  
F. Vannini ◽  
F. Di Caprio ◽  
M. Cavallo ◽  
...  
Keyword(s):  
Articular Cartilage ◽  
Osteochondral Lesions ◽  
Arthroscopic Procedure ◽  
One Step ◽  
Hyaline Articular Cartilage

Particulated Autograft Cartilage Implantation for the Treatment of Osteochondral Lesions of the Talus: A Novel Technique

2018 ◽  
Vol 11 (4) ◽  
pp. 365-371 ◽  
Author(s):  
Connor Delman ◽  
John Wuellner ◽  
Chris Kreulen ◽  
Gregg Lundeen ◽  
Eric Giza
Keyword(s):  
Articular Cartilage ◽  
Operative Treatment ◽  
Biological Properties ◽  
Single Step ◽  
Operative Intervention ◽  
Osteochondral Lesions ◽  
Ankle Sprains ◽  
Levels Of Evidence ◽  
Novel Technique ◽  
Hyaline Articular Cartilage

Osteochondral lesions of the talus often occur following ankle sprains and fractures. Operative intervention is typically required because of the diminished intrinsic repair capability of talar articular cartilage. Several techniques have evolved that emphasize replacing the defect with cartilage that closely mimics the biological properties of hyaline articular cartilage. The goals of operative treatment are resolution of symptoms, physiologic healing, and restoration of function while eliminating the need for further intervention. This article describes a novel, single-step technique for the treatment of osteochondral lesions of the talus with the use of particulated autograft cartilage implantation. Levels of Evidence: Level V

Paper 131: Surgical Treatment of Osteochondral Lesions of the Talus with a New One-step Arthroscopic Procedure

2012 ◽  
Vol 28 (9) ◽  
pp. e412
Author(s):  
Sandro Giannini ◽  
Roberto Buda ◽  
Francesca Vannini ◽  
Roberto Bevoni ◽  
Riccardo Ghermandi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Osteochondral Lesions ◽  
Arthroscopic Procedure ◽  
One Step

scholarly journals Return to Sports After Bone Marrow–Derived Cell Transplantation for Osteochondral Lesions of the Talus

Cartilage ◽  
2016 ◽  
Vol 8 (1) ◽  
pp. 80-87 ◽  
Author(s):  
Francesca Vannini ◽  
Marco Cavallo ◽  
Laura Ramponi ◽  
Francesco Castagnini ◽  
Simone Massimi ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Cell Transplantation ◽  
Case Series ◽  
Clinical Results ◽  
Osteochondral Lesions ◽  
Return To Sports ◽  
One Step ◽  
American Orthopaedic ◽  
Return To Activity

Objective Arthroscopic “one-step” technique based on bone marrow–derived cell transplantation (BMDCT) have achieved good results in repairing osteochondral lesions of the talus (OLT), overcoming important drawbacks of older techniques. It may be particularly adequate for the treatment of athletes in order to permit a safe and stable return to sports. The aim of this study was to report the results at 48 months of a series of athletes and the factors influencing the return to sports. Design Case series. A total of 140 athletes underwent a “one-step” BMDCT repair of OLT. All the patients had the cells harvested from the iliac crest, condensed and loaded on a scaffold, and then implanted. Patients were evaluated clinically by the American Orthopaedic Foot and Ankle Society (AOFAS) scores and Halasi score. Results AOFAS score improved from 58.7 ± 13.5 preoperatively to 90.6 ± 8.6 ( P < 0.005) at 24 months, and to 90.9 ± 10.7 at 48 months. Halasi score was 6.88 ± 1.8 preinjury, 4.08 ± 1.7 preoperatively, and 5.56 ± 2.0 at final follow-up. At the final follow-up, all the patients (beside 1 failure and 3 lost) were able to return to activity and 72.8% were able to resume sports at preinjury level. Conclusions “One-step” BMDCT repair of OLT had good clinical results that was durable over time in athletes, permitting a return to sports at preinjury level in the majority of patients. The preoperative presence of impingement and articular degeneration were the main negative prognostic factors.

scholarly journals Use of Particulated Juvenile Articular Cartilage Allograft for Osteochondral Lesions of the Wrist

Hand ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. NP62-NP67 ◽  
Author(s):  
Daniel E. Hess ◽  
Brian C. Werner ◽  
D. Nicole Deal
Keyword(s):  
Articular Cartilage ◽  
Case Reports ◽  
New Technology ◽  
Full Range ◽  
Osteochondral Lesions ◽  
Appropriate Treatment ◽  
Cartilage Injuries ◽  
Articular Cartilage Injuries ◽  
Outerbridge Grade ◽  
Active Patients

Background: Articular cartilage injuries are a common injury among young, active patients, and the most appropriate treatment for these injuries remains controversial. A promising new technology in the treatment of high-grade cartilage injuries is particulated juvenile articular cartilage (PJAC) allograft (DeNovo NT, Zimmer, Warsaw, Indiana). This has been shown to be successful in multiple joints including the knee, talus, and elbow. No studies or case reports exist in supporting or discouraging its use in injuries of the wrist, in specific, the scaphoid. Methods: The use of PJAC allograft is described for the treatment of an active 21-year-old male with an Outerbridge Grade IV chondral lesion on the proximal pole of his right scaphoid and right distal radius scaphoid facet who had failed conservative management. The patient was followed clinically and radiographically for 21 months. Results: The patient had return to full sport (jujutsu) and full range-of-motion, both of which represented an improvement from his preoperative exam. Radiographically, the chondral lucency seen had decreased in size and was almost completely absent on radiographs after 21 months. Conclusions: The results of this case suggest that PJAC can be used safely and effectively in the wrist thereby potentially broadening the indications for its use.

Knee injuries

2013 ◽  
Author(s):  
Henry Colaco ◽  
Fares Haddad ◽  
Cathy Speed
Keyword(s):  
Articular Cartilage ◽  
Patellofemoral Joint ◽  
Knee Injuries ◽  
Joint Capsule ◽  
Range Of Movement ◽  
Tibiofemoral Joint ◽  
Hinge Joint ◽  
Complex Combination ◽  
Hyaline Articular Cartilage ◽  
Three Components

The knee is a synovial hinge joint which achieves a range of movement of 0°–150° flexion with a complex combination of sliding, gliding, and rolling movements. The three components involved are the medial and lateral compartments of the tibiofemoral joint and the patellofemoral joint. The joint is lined with hyaline articular cartilage and stability is primarily provided by the joint capsule, menisci, ligaments, and muscles....

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