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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

28.09.2021 | Orthopaedic Surgery

Descriptive analysis and short-term follow-up clinical results of osteochondral lesions of the distal tibia based on data of the German Cartilage Register (Knorpelregister^® DGOU)

verfasst von: Oliver Gottschalk, Daniel Körner, Matthias Aurich, Christian Plaass, Daniel Günther, Hubert Hörterer, Jan Bruder, Markus Walther

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 2/2023

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Abstract

Introduction

An increasing number of ankle injuries with osteochondral lesions (OCL) also include lesions of the distal tibia. Therefore, the German Cartilage Society database is used to describe and examine the characteristics of these lesions and, early on, the results of different surgical therapies on the clinical outcome.

Materials and methods

Forty-seven patients out of 844 registered in the German Cartilage Society database met the inclusion criteria showing an OCL of the distal tibia (OLDT). Sixteen of them also presented a 1-year follow-up regarding the Foot and Ankle Ability Measure (FAAM). Further evaluations were included in the follow-up, such as the Foot and Ankle Outcome Score (FAOS) and the Visual Analogue Scale for pain (VAS).

Results

The patients’ mean age was 35 ± 11 with a mean BMI in the range of overweight (26/27 ± 5 kg/m²). The lesions were equally distributed on the articular surface of the distal tibia. Most patients were operated using anterior ankle arthroscopy [n_T 34 (72%); n_S 13 (81%)], while some (n_T 9; n_S 4) converted to open procedures. Almost 90% staged III and IV in the ICRS classification. Debridement, bone marrow stimulation, solid scaffolds, and liquid filler were the treatment choices among the subgroup. All therapies led to a clinical improvement between pre-op and 1-year follow-up but not to a significant level.

Conclusion

This study presents baseline data of OLDT based on data from a large database. BMS and scaffolds were the treatment of choice but did not present significant improvement after a 1-year follow-up.

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Titel: Descriptive analysis and short-term follow-up clinical results of osteochondral lesions of the distal tibia based on data of the German Cartilage Register (Knorpelregister® DGOU)
verfasst von: Oliver Gottschalk
Daniel Körner
Matthias Aurich
Christian Plaass
Daniel Günther
Hubert Hörterer
Jan Bruder
Markus Walther
Publikationsdatum: 28.09.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 2/2023
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-021-04167-6

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Descriptive analysis and short-term follow-up clinical results of osteochondral lesions of the distal tibia based on data of the German Cartilage Register (Knorpelregister^® DGOU)