Redomicrofracture as a Treatment for Osteochondral Lesion of Talus after the Failure of Arthroscopic Microfracture

Woo Jin Choi; Kwang Hwan Park; Moses Lee; Kwangho Chung; Jin Woo Lee

doi:10.14193/jkfas.2015.19.2.43

Journal List > J Korean Foot Ankle Soc > v.19(2) > 1043369

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Choi, Park, Lee, Chung, and Lee: Redomicrofracture as a Treatment for Osteochondral Lesion of Talus after the Failure of Arthroscopic Microfracture

Review Article

J Korean Foot Ankle Soc 2015;19(2):43-46.

Published online: 19 June 2015

DOI: https://doi.org/10.14193/jkfas.2015.19.2.43

Redomicrofracture as a Treatment for Osteochondral Lesion of Talus after the Failure of Arthroscopic Microfracture

Woo Jin Choi, Kwang Hwan Park, Moses Lee, Kwangho Chung, Jin Woo Lee

Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea

Corresponding Author: Jin Woo Lee Department of Orthopaedic Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea Tel: 82-2-2228-2190, Fax: 82-2-363-1139, E-mail: ljwos@yuhs.ac

Received 28 January 20156 April 2015 Accepted 22 April 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Arthroscopic treatment has been reported to provide effective improvement of ankle function when used in treatment of small osteochondral lesion of talus; however, favorable long-term results have been less predictable for large osteochondral lesion of talus. In cases in which primary arthroscopic treatment fails, the decision regarding which subsequent technique to choose has become increasingly difficult, as good clinical outcomes may be unlikely for such patients irrespective of the surgical technique used. Redomicrofracture should be used judiciously for treatment of osteochondral lesion of talus in which arthroscopic treatment has failed.

Keywords: Osteochondral lesion of talus, Failed microfracture, Redomicrofracture

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Figure 1.

Redomicrofracture was performed for the treatment of osteochondral lesion of talus (B) in which arthroscopic microfracture has failed (A).

Figure 2.

After the arthroscopic microfracture for osteochondral lesion of talus, second-look arthroscopy showed the fibrocartilage which was evenly distributed in the lesion.

Figure 3.

After the arthroscopic microfracture for osteochondral lesion of talus, second-look arthroscopy showed proliferations of subchondral plates, bony overgrowths and fissures of regenerative fibrocartilages.

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