Osteochondritis Dissecans (Osteochondral Fracture) of the Talus Review of the Literature and Case Reports.

概要

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Seven patients with osteochondritis dissecans of the talus and tibia were reviewed for a clinical and radiographical follow up. A history of trauma was present in all lateral lesions and a tibial lesion. Radiographically, the location of the medial lesions tended to be in the posterior one third of the dome and the lateral lesions tended to be in the middle one third of it. Furthermore, lateral lesions tend to get worse more easily than medial lesions. We found that lateral lesions were more associated with trauma and needed more careful treatment than medial lesions. We concluded that conservative treatment should be done for stage 1 and 2 lesions and curretage, drilling and fixation is recommended for stage 3 and 4 lesions. When the loose body is too small to fix, only removing it is Suctable treatment.
西日本整形・災害外科学会の論文