Management of talar lesions with cement augmentation and autologous bone graft
Background Treatment of bone lesions involved with the articular cartilage at the talus is challenging. We report the management of talus lesions, particularly tumors and avascular necrosis (AVN), at the articular surface through treatment with cement augmentation and autologous bone graft. Methods...
Ausführliche Beschreibung
Autor*in: |
Do Hun Kim MD [verfasserIn] Wanlim Kim MD [verfasserIn] Youngrak Choi MD [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2022 |
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Übergeordnetes Werk: |
In: Journal of Orthopaedic Surgery - SAGE Publishing, 2018, 30(2022) |
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Übergeordnetes Werk: |
volume:30 ; year:2022 |
Links: |
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DOI / URN: |
10.1177/10225536221131159 |
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Katalog-ID: |
DOAJ008941335 |
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520 | |a Background Treatment of bone lesions involved with the articular cartilage at the talus is challenging. We report the management of talus lesions, particularly tumors and avascular necrosis (AVN), at the articular surface through treatment with cement augmentation and autologous bone graft. Methods Eight benign bone tumors and three cases of AVN were reviewed retrospectively at a mean follow-up of 56 months (range, 12–162). The mean age of all patients was 36.1 years old (range, 15–73) when assessed between February 2005 and November 2021. Curettage of tumorous and necrotic lesions resulted in significant bone defects filled with bone cement augmentation. Cartilage defects of the talar dome were supported with autologous cancellous bone graft. Tolerable weight-bearing ambulation was permitted immediately after surgery. Radiological and functional evaluations were recorded. Results We observed an increase in the average The American Orthopaedic Foot and Ankle Score (AOFAS) ( p = .003) and a decrease in the average Visual Analogue Scale pain score ( p = .003). There was no statistically significant decrease in ROM before or after surgery ( p = .114). Additionally, no talus collapse of the ankle joint occurred. Talar dome status did not aggravate before or after surgery, except for one patient. Despite no radiographic osteoarthritis exacerbation before or after surgery in six patients, five patients had osteoarthritic change. Conclusion Cement implantation and autologous bone graft performed simultaneously for benign bone tumors with joint cartilage damage and AVN are technically simple, have good outcomes, and may be a suitable alternative to standard treatments. | ||
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10.1177/10225536221131159 doi (DE-627)DOAJ008941335 (DE-599)DOAJ7a52d310da9e4d278534dd41c9f7c810 DE-627 ger DE-627 rakwb eng RD701-811 Do Hun Kim MD verfasserin aut Management of talar lesions with cement augmentation and autologous bone graft 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Treatment of bone lesions involved with the articular cartilage at the talus is challenging. We report the management of talus lesions, particularly tumors and avascular necrosis (AVN), at the articular surface through treatment with cement augmentation and autologous bone graft. Methods Eight benign bone tumors and three cases of AVN were reviewed retrospectively at a mean follow-up of 56 months (range, 12–162). The mean age of all patients was 36.1 years old (range, 15–73) when assessed between February 2005 and November 2021. Curettage of tumorous and necrotic lesions resulted in significant bone defects filled with bone cement augmentation. Cartilage defects of the talar dome were supported with autologous cancellous bone graft. Tolerable weight-bearing ambulation was permitted immediately after surgery. Radiological and functional evaluations were recorded. Results We observed an increase in the average The American Orthopaedic Foot and Ankle Score (AOFAS) ( p = .003) and a decrease in the average Visual Analogue Scale pain score ( p = .003). There was no statistically significant decrease in ROM before or after surgery ( p = .114). Additionally, no talus collapse of the ankle joint occurred. Talar dome status did not aggravate before or after surgery, except for one patient. Despite no radiographic osteoarthritis exacerbation before or after surgery in six patients, five patients had osteoarthritic change. Conclusion Cement implantation and autologous bone graft performed simultaneously for benign bone tumors with joint cartilage damage and AVN are technically simple, have good outcomes, and may be a suitable alternative to standard treatments. Orthopedic surgery Wanlim Kim MD verfasserin aut Youngrak Choi MD verfasserin aut In Journal of Orthopaedic Surgery SAGE Publishing, 2018 30(2022) (DE-627)375963057 (DE-600)2128854-9 23094990 nnns volume:30 year:2022 https://doi.org/10.1177/10225536221131159 kostenfrei https://doaj.org/article/7a52d310da9e4d278534dd41c9f7c810 kostenfrei https://doi.org/10.1177/10225536221131159 kostenfrei https://doaj.org/toc/2309-4990 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_2704 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 30 2022 |
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10.1177/10225536221131159 doi (DE-627)DOAJ008941335 (DE-599)DOAJ7a52d310da9e4d278534dd41c9f7c810 DE-627 ger DE-627 rakwb eng RD701-811 Do Hun Kim MD verfasserin aut Management of talar lesions with cement augmentation and autologous bone graft 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Treatment of bone lesions involved with the articular cartilage at the talus is challenging. We report the management of talus lesions, particularly tumors and avascular necrosis (AVN), at the articular surface through treatment with cement augmentation and autologous bone graft. Methods Eight benign bone tumors and three cases of AVN were reviewed retrospectively at a mean follow-up of 56 months (range, 12–162). The mean age of all patients was 36.1 years old (range, 15–73) when assessed between February 2005 and November 2021. Curettage of tumorous and necrotic lesions resulted in significant bone defects filled with bone cement augmentation. Cartilage defects of the talar dome were supported with autologous cancellous bone graft. Tolerable weight-bearing ambulation was permitted immediately after surgery. Radiological and functional evaluations were recorded. Results We observed an increase in the average The American Orthopaedic Foot and Ankle Score (AOFAS) ( p = .003) and a decrease in the average Visual Analogue Scale pain score ( p = .003). There was no statistically significant decrease in ROM before or after surgery ( p = .114). Additionally, no talus collapse of the ankle joint occurred. Talar dome status did not aggravate before or after surgery, except for one patient. Despite no radiographic osteoarthritis exacerbation before or after surgery in six patients, five patients had osteoarthritic change. Conclusion Cement implantation and autologous bone graft performed simultaneously for benign bone tumors with joint cartilage damage and AVN are technically simple, have good outcomes, and may be a suitable alternative to standard treatments. Orthopedic surgery Wanlim Kim MD verfasserin aut Youngrak Choi MD verfasserin aut In Journal of Orthopaedic Surgery SAGE Publishing, 2018 30(2022) (DE-627)375963057 (DE-600)2128854-9 23094990 nnns volume:30 year:2022 https://doi.org/10.1177/10225536221131159 kostenfrei https://doaj.org/article/7a52d310da9e4d278534dd41c9f7c810 kostenfrei https://doi.org/10.1177/10225536221131159 kostenfrei https://doaj.org/toc/2309-4990 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_2704 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 30 2022 |
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10.1177/10225536221131159 doi (DE-627)DOAJ008941335 (DE-599)DOAJ7a52d310da9e4d278534dd41c9f7c810 DE-627 ger DE-627 rakwb eng RD701-811 Do Hun Kim MD verfasserin aut Management of talar lesions with cement augmentation and autologous bone graft 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Treatment of bone lesions involved with the articular cartilage at the talus is challenging. We report the management of talus lesions, particularly tumors and avascular necrosis (AVN), at the articular surface through treatment with cement augmentation and autologous bone graft. Methods Eight benign bone tumors and three cases of AVN were reviewed retrospectively at a mean follow-up of 56 months (range, 12–162). The mean age of all patients was 36.1 years old (range, 15–73) when assessed between February 2005 and November 2021. Curettage of tumorous and necrotic lesions resulted in significant bone defects filled with bone cement augmentation. Cartilage defects of the talar dome were supported with autologous cancellous bone graft. Tolerable weight-bearing ambulation was permitted immediately after surgery. Radiological and functional evaluations were recorded. Results We observed an increase in the average The American Orthopaedic Foot and Ankle Score (AOFAS) ( p = .003) and a decrease in the average Visual Analogue Scale pain score ( p = .003). There was no statistically significant decrease in ROM before or after surgery ( p = .114). Additionally, no talus collapse of the ankle joint occurred. Talar dome status did not aggravate before or after surgery, except for one patient. Despite no radiographic osteoarthritis exacerbation before or after surgery in six patients, five patients had osteoarthritic change. Conclusion Cement implantation and autologous bone graft performed simultaneously for benign bone tumors with joint cartilage damage and AVN are technically simple, have good outcomes, and may be a suitable alternative to standard treatments. Orthopedic surgery Wanlim Kim MD verfasserin aut Youngrak Choi MD verfasserin aut In Journal of Orthopaedic Surgery SAGE Publishing, 2018 30(2022) (DE-627)375963057 (DE-600)2128854-9 23094990 nnns volume:30 year:2022 https://doi.org/10.1177/10225536221131159 kostenfrei https://doaj.org/article/7a52d310da9e4d278534dd41c9f7c810 kostenfrei https://doi.org/10.1177/10225536221131159 kostenfrei https://doaj.org/toc/2309-4990 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_2704 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 30 2022 |
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10.1177/10225536221131159 doi (DE-627)DOAJ008941335 (DE-599)DOAJ7a52d310da9e4d278534dd41c9f7c810 DE-627 ger DE-627 rakwb eng RD701-811 Do Hun Kim MD verfasserin aut Management of talar lesions with cement augmentation and autologous bone graft 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Treatment of bone lesions involved with the articular cartilage at the talus is challenging. We report the management of talus lesions, particularly tumors and avascular necrosis (AVN), at the articular surface through treatment with cement augmentation and autologous bone graft. Methods Eight benign bone tumors and three cases of AVN were reviewed retrospectively at a mean follow-up of 56 months (range, 12–162). The mean age of all patients was 36.1 years old (range, 15–73) when assessed between February 2005 and November 2021. Curettage of tumorous and necrotic lesions resulted in significant bone defects filled with bone cement augmentation. Cartilage defects of the talar dome were supported with autologous cancellous bone graft. Tolerable weight-bearing ambulation was permitted immediately after surgery. Radiological and functional evaluations were recorded. Results We observed an increase in the average The American Orthopaedic Foot and Ankle Score (AOFAS) ( p = .003) and a decrease in the average Visual Analogue Scale pain score ( p = .003). There was no statistically significant decrease in ROM before or after surgery ( p = .114). Additionally, no talus collapse of the ankle joint occurred. Talar dome status did not aggravate before or after surgery, except for one patient. Despite no radiographic osteoarthritis exacerbation before or after surgery in six patients, five patients had osteoarthritic change. Conclusion Cement implantation and autologous bone graft performed simultaneously for benign bone tumors with joint cartilage damage and AVN are technically simple, have good outcomes, and may be a suitable alternative to standard treatments. Orthopedic surgery Wanlim Kim MD verfasserin aut Youngrak Choi MD verfasserin aut In Journal of Orthopaedic Surgery SAGE Publishing, 2018 30(2022) (DE-627)375963057 (DE-600)2128854-9 23094990 nnns volume:30 year:2022 https://doi.org/10.1177/10225536221131159 kostenfrei https://doaj.org/article/7a52d310da9e4d278534dd41c9f7c810 kostenfrei https://doi.org/10.1177/10225536221131159 kostenfrei https://doaj.org/toc/2309-4990 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_2704 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 30 2022 |
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10.1177/10225536221131159 doi (DE-627)DOAJ008941335 (DE-599)DOAJ7a52d310da9e4d278534dd41c9f7c810 DE-627 ger DE-627 rakwb eng RD701-811 Do Hun Kim MD verfasserin aut Management of talar lesions with cement augmentation and autologous bone graft 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Treatment of bone lesions involved with the articular cartilage at the talus is challenging. We report the management of talus lesions, particularly tumors and avascular necrosis (AVN), at the articular surface through treatment with cement augmentation and autologous bone graft. Methods Eight benign bone tumors and three cases of AVN were reviewed retrospectively at a mean follow-up of 56 months (range, 12–162). The mean age of all patients was 36.1 years old (range, 15–73) when assessed between February 2005 and November 2021. Curettage of tumorous and necrotic lesions resulted in significant bone defects filled with bone cement augmentation. Cartilage defects of the talar dome were supported with autologous cancellous bone graft. Tolerable weight-bearing ambulation was permitted immediately after surgery. Radiological and functional evaluations were recorded. Results We observed an increase in the average The American Orthopaedic Foot and Ankle Score (AOFAS) ( p = .003) and a decrease in the average Visual Analogue Scale pain score ( p = .003). There was no statistically significant decrease in ROM before or after surgery ( p = .114). Additionally, no talus collapse of the ankle joint occurred. Talar dome status did not aggravate before or after surgery, except for one patient. Despite no radiographic osteoarthritis exacerbation before or after surgery in six patients, five patients had osteoarthritic change. Conclusion Cement implantation and autologous bone graft performed simultaneously for benign bone tumors with joint cartilage damage and AVN are technically simple, have good outcomes, and may be a suitable alternative to standard treatments. Orthopedic surgery Wanlim Kim MD verfasserin aut Youngrak Choi MD verfasserin aut In Journal of Orthopaedic Surgery SAGE Publishing, 2018 30(2022) (DE-627)375963057 (DE-600)2128854-9 23094990 nnns volume:30 year:2022 https://doi.org/10.1177/10225536221131159 kostenfrei https://doaj.org/article/7a52d310da9e4d278534dd41c9f7c810 kostenfrei https://doi.org/10.1177/10225536221131159 kostenfrei https://doaj.org/toc/2309-4990 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_2704 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 30 2022 |
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We report the management of talus lesions, particularly tumors and avascular necrosis (AVN), at the articular surface through treatment with cement augmentation and autologous bone graft. Methods Eight benign bone tumors and three cases of AVN were reviewed retrospectively at a mean follow-up of 56 months (range, 12–162). The mean age of all patients was 36.1 years old (range, 15–73) when assessed between February 2005 and November 2021. Curettage of tumorous and necrotic lesions resulted in significant bone defects filled with bone cement augmentation. Cartilage defects of the talar dome were supported with autologous cancellous bone graft. Tolerable weight-bearing ambulation was permitted immediately after surgery. Radiological and functional evaluations were recorded. Results We observed an increase in the average The American Orthopaedic Foot and Ankle Score (AOFAS) ( p = .003) and a decrease in the average Visual Analogue Scale pain score ( p = .003). There was no statistically significant decrease in ROM before or after surgery ( p = .114). Additionally, no talus collapse of the ankle joint occurred. Talar dome status did not aggravate before or after surgery, except for one patient. Despite no radiographic osteoarthritis exacerbation before or after surgery in six patients, five patients had osteoarthritic change. Conclusion Cement implantation and autologous bone graft performed simultaneously for benign bone tumors with joint cartilage damage and AVN are technically simple, have good outcomes, and may be a suitable alternative to standard treatments.</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Orthopedic surgery</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Wanlim Kim MD</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Youngrak Choi MD</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Journal of Orthopaedic Surgery</subfield><subfield code="d">SAGE Publishing, 2018</subfield><subfield code="g">30(2022)</subfield><subfield code="w">(DE-627)375963057</subfield><subfield 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Management of talar lesions with cement augmentation and autologous bone graft |
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Background Treatment of bone lesions involved with the articular cartilage at the talus is challenging. We report the management of talus lesions, particularly tumors and avascular necrosis (AVN), at the articular surface through treatment with cement augmentation and autologous bone graft. Methods Eight benign bone tumors and three cases of AVN were reviewed retrospectively at a mean follow-up of 56 months (range, 12–162). The mean age of all patients was 36.1 years old (range, 15–73) when assessed between February 2005 and November 2021. Curettage of tumorous and necrotic lesions resulted in significant bone defects filled with bone cement augmentation. Cartilage defects of the talar dome were supported with autologous cancellous bone graft. Tolerable weight-bearing ambulation was permitted immediately after surgery. Radiological and functional evaluations were recorded. Results We observed an increase in the average The American Orthopaedic Foot and Ankle Score (AOFAS) ( p = .003) and a decrease in the average Visual Analogue Scale pain score ( p = .003). There was no statistically significant decrease in ROM before or after surgery ( p = .114). Additionally, no talus collapse of the ankle joint occurred. Talar dome status did not aggravate before or after surgery, except for one patient. Despite no radiographic osteoarthritis exacerbation before or after surgery in six patients, five patients had osteoarthritic change. Conclusion Cement implantation and autologous bone graft performed simultaneously for benign bone tumors with joint cartilage damage and AVN are technically simple, have good outcomes, and may be a suitable alternative to standard treatments. |
abstractGer |
Background Treatment of bone lesions involved with the articular cartilage at the talus is challenging. We report the management of talus lesions, particularly tumors and avascular necrosis (AVN), at the articular surface through treatment with cement augmentation and autologous bone graft. Methods Eight benign bone tumors and three cases of AVN were reviewed retrospectively at a mean follow-up of 56 months (range, 12–162). The mean age of all patients was 36.1 years old (range, 15–73) when assessed between February 2005 and November 2021. Curettage of tumorous and necrotic lesions resulted in significant bone defects filled with bone cement augmentation. Cartilage defects of the talar dome were supported with autologous cancellous bone graft. Tolerable weight-bearing ambulation was permitted immediately after surgery. Radiological and functional evaluations were recorded. Results We observed an increase in the average The American Orthopaedic Foot and Ankle Score (AOFAS) ( p = .003) and a decrease in the average Visual Analogue Scale pain score ( p = .003). There was no statistically significant decrease in ROM before or after surgery ( p = .114). Additionally, no talus collapse of the ankle joint occurred. Talar dome status did not aggravate before or after surgery, except for one patient. Despite no radiographic osteoarthritis exacerbation before or after surgery in six patients, five patients had osteoarthritic change. Conclusion Cement implantation and autologous bone graft performed simultaneously for benign bone tumors with joint cartilage damage and AVN are technically simple, have good outcomes, and may be a suitable alternative to standard treatments. |
abstract_unstemmed |
Background Treatment of bone lesions involved with the articular cartilage at the talus is challenging. We report the management of talus lesions, particularly tumors and avascular necrosis (AVN), at the articular surface through treatment with cement augmentation and autologous bone graft. Methods Eight benign bone tumors and three cases of AVN were reviewed retrospectively at a mean follow-up of 56 months (range, 12–162). The mean age of all patients was 36.1 years old (range, 15–73) when assessed between February 2005 and November 2021. Curettage of tumorous and necrotic lesions resulted in significant bone defects filled with bone cement augmentation. Cartilage defects of the talar dome were supported with autologous cancellous bone graft. Tolerable weight-bearing ambulation was permitted immediately after surgery. Radiological and functional evaluations were recorded. Results We observed an increase in the average The American Orthopaedic Foot and Ankle Score (AOFAS) ( p = .003) and a decrease in the average Visual Analogue Scale pain score ( p = .003). There was no statistically significant decrease in ROM before or after surgery ( p = .114). Additionally, no talus collapse of the ankle joint occurred. Talar dome status did not aggravate before or after surgery, except for one patient. Despite no radiographic osteoarthritis exacerbation before or after surgery in six patients, five patients had osteoarthritic change. Conclusion Cement implantation and autologous bone graft performed simultaneously for benign bone tumors with joint cartilage damage and AVN are technically simple, have good outcomes, and may be a suitable alternative to standard treatments. |
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There was no statistically significant decrease in ROM before or after surgery ( p = .114). Additionally, no talus collapse of the ankle joint occurred. Talar dome status did not aggravate before or after surgery, except for one patient. Despite no radiographic osteoarthritis exacerbation before or after surgery in six patients, five patients had osteoarthritic change. 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