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Treatment of post-traumatic ankle arthrosis with bipolar tibiotalar osteochondral shell allografts
- Source :
- Footankle international. 23(12)
- Publication Year :
- 2002
-
Abstract
- We report on tibiotalar osteochondral shell allografts for post-traumatic ankle arthropathy in seven patients. Average follow-up was 148 months (range, 85 to 198). Patients were evaluated by a questionnaire, SF-12 survey, ankle score, physical exam and radiographs. The ankle score increased from 25 preoperatively to 43 at latest follow-up (maximum score 100). SF-12 scores increased from 30 to 38 (Physical Component) and 46 to 53 (Mental Component). The failure rate was 42%. Four of seven patients reported good or excellent results. Five patients stated they would undergo a similar procedure again. Complications included graft fragmentation, poor graft fit, graft subluxation, and non-union. Follow-up radiographs demonstrated joint space narrowing, osteophytes, and sclerosis, even in cases with excellent clinical status. Fresh osteochondral shell allografting may provide a viable alternative for the treatment of post-traumatic ankle arthrosis in selected individuals.
- Subjects :
- Adult
Cartilage, Articular
Male
medicine.medical_specialty
Joint space narrowing
Radiography
03 medical and health sciences
0302 clinical medicine
Cartilage transplantation
Arthropathy
medicine
Cadaver
Humans
Orthopedics and Sports Medicine
Ankle Injuries
Aged
Subluxation
030222 orthopedics
Bone Transplantation
business.industry
Joint reconstruction
030229 sport sciences
Middle Aged
medicine.disease
Surgery
medicine.anatomical_structure
Physical exam
Female
Ankle
Joint Diseases
business
Ankle Joint
Follow-Up Studies
Subjects
Details
- ISSN :
- 10711007
- Volume :
- 23
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Footankle international
- Accession number :
- edsair.doi.dedup.....b7ee90ffa91cdb76f9f353f990c23bdb