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    Preface Osteochondrallesionsofthe Talus: Current Issues in Treatment of Osteochondral Defects

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    The author discusses current issues in treating osteochondral defects of the talus bone. While treatment options have expanded in the past 30 years, outcomes have remained around 80% success rate. The author is skeptical of new procedures becoming popular as alternatives often replace each other quickly. Arthroscopic debridement and microfracture, though not ideal biologically, have stood the test of time with many patients finding relief. Future options highlighted will focus on large cystic lesions where initial treatments are not satisfactory.

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    Preface Osteochondrallesionsofthe Talus: Current Issues in Treatment of Osteochondral Defects

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    The author discusses current issues in treating osteochondral defects of the talus bone. While treatment options have expanded in the past 30 years, outcomes have remained around 80% success rate. The author is skeptical of new procedures becoming popular as alternatives often replace each other quickly. Arthroscopic debridement and microfracture, though not ideal biologically, have stood the test of time with many patients finding relief. Future options highlighted will focus on large cystic lesions where initial treatments are not satisfactory.

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    The author discusses current issues in treating osteochondral defects of the talus bone. While treatment options have expanded in the past 30 years, outcomes have remained around 80% success rate. The author is skeptical of new procedures becoming popular as alternatives often replace each other quickly. Arthroscopic debridement and microfracture, though not ideal biologically, have stood the test of time with many patients finding relief. Future options highlighted will focus on large cystic lesions where initial treatments are not satisfactory.

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    Download as pdf or txt
    29 views1 page

    Preface Osteochondrallesionsofthe Talus: Current Issues in Treatment of Osteochondral Defects

    Uploaded by

    api-241264935
    The author discusses current issues in treating osteochondral defects of the talus bone. While treatment options have expanded in the past 30 years, outcomes have remained around 80% success rate. The author is skeptical of new procedures becoming popular as alternatives often replace each other quickly. Arthroscopic debridement and microfracture, though not ideal biologically, have stood the test of time with many patients finding relief. Future options highlighted will focus on large cystic lesions where initial treatments are not satisfactory.

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    Current Issues in Treatment of Osteochondral Defects

    Preface O s t e o c h o n d r a l Le s i o n s o f t h e Ta l u s

    Mark S. Myerson, MD Editor

    I recall when the only treatment for an osteochondral lesion of the talus was arthroscopic debridement. Try to imagine what our treatment alternatives will therefore be in another 30 years! I believe that our understanding of these lesions is still evolving and, while we really cannot predict trends in treatment, I suspect that these will be directed biologically rather than mechanically. Although the outcomes of many of our current surgical procedures are exciting, I remain skeptical about any new trendy procedure since the literature is replete with successes as well as failures of these initiatives. I frequently hear about new techniques from colleagues and friends but find these to be overly optimistic. Many surgeons adopt a new procedure (and I am guilty of this myself), only to move on a year or 2 later to the next and newest treatment alternative. And whether it is a new type of cartilage resurfacing or alternative method of grafting, I do not know of any treatment that has a really predictable outcome. The rate of success has hovered around 80% for decades despite multiple treatment alternatives, but the only procedure to have stood the test of time is debridement and microfracture. This is, of course, as we well know, not a satisfactory biologic treatment, and yet many, indeed the majority, of the patients do quite well. How willingly do you, the surgeon, embrace new ideas and technologies? We have many alternatives for treating the large cystic lesion where the results of debridement and microfracture are not satisfactory and this issue will certainly highlight all of the current and future options for treatment. Mark S. Myerson, MD The Institute for Foot and Ankle Reconstruction Mercy Medical Center 301 St Paul Place Baltimore, MD 21202, USA E-mail address: [email protected]
    Foot Ankle Clin N Am 18 (2013) xi http://dx.doi.org/10.1016/j.fcl.2012.12.011 1083-7515/13/$ see front matter 2013 Published by Elsevier Inc.

    foot.theclinics.com

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