Surgical management of osteochondral lesions of the first metatarsal head: A systematic review
Background: Treating osteochondral lesions of the first metatarsal head can help reducing pain and preventing end-stage arthritic cartilage degeneration and hallux rigidus. Several surgical techniques have been described, but no clear indications are reported. This systematic review aims to offer an...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Artioli, Elena [verfasserIn] Mazzotti, Antonio [verfasserIn] Zielli, Simone Ottavio [verfasserIn] Arceri, Alberto [verfasserIn] Langone, Laura [verfasserIn] Gerardi, Simone [verfasserIn] Faldini, Cesare [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Foot and ankle surgery - Amsterdam [u.a.] : Elsevier Science, 1994, 29, Seite 387-392 |
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| Übergeordnetes Werk: |
volume:29 ; pages:387-392 |
| DOI / URN: |
10.1016/j.fas.2023.05.007 |
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ELV060120789 |
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| 245 | 1 | 0 | |a Surgical management of osteochondral lesions of the first metatarsal head: A systematic review |
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| 520 | |a Background: Treating osteochondral lesions of the first metatarsal head can help reducing pain and preventing end-stage arthritic cartilage degeneration and hallux rigidus. Several surgical techniques have been described, but no clear indications are reported. This systematic review aims to offer an overview of the current surgical treatments for focal osteochondral lesions of the first metatarsal head.Methods: The selected articles were examined to extract data about population, surgical technique, and clinical outcomes.Results: Eleven articles were included. Mean age at surgery was 38,2 years. Osteochondral autograft was the most used technique. After surgery, an improvement was achieved in AOFAS, VAS, and hallux dorsiflexion but not in plantarflexion.Conclusion: There is limited evidence and knowledge regarding the surgical management of the first metatarsal head osteochondral lesions. Various surgical techniques have been proposed, drawn from other districts. Good clinical results have been reported. Further high-level comparative studies are necessary to design an evidence-based treatment algorithm. | ||
| 650 | 4 | |a Osteochondral lesions | |
| 650 | 4 | |a Osteochondritis dissecans | |
| 650 | 4 | |a First metatarsal head | |
| 650 | 4 | |a Hallux rigidus | |
| 650 | 4 | |a Osteochondral autograft | |
| 700 | 1 | |a Mazzotti, Antonio |e verfasserin |0 (orcid)0000-0001-9974-4787 |4 aut | |
| 700 | 1 | |a Zielli, Simone Ottavio |e verfasserin |4 aut | |
| 700 | 1 | |a Arceri, Alberto |e verfasserin |0 (orcid)0000-0002-6486-6300 |4 aut | |
| 700 | 1 | |a Langone, Laura |e verfasserin |0 (orcid)0000-0002-5378-4908 |4 aut | |
| 700 | 1 | |a Gerardi, Simone |e verfasserin |4 aut | |
| 700 | 1 | |a Faldini, Cesare |e verfasserin |4 aut | |
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10.1016/j.fas.2023.05.007 doi (DE-627)ELV060120789 (ELSEVIER)S1268-7731(23)00099-1 DE-627 ger DE-627 rda eng 610 VZ 44.83 bkl Artioli, Elena verfasserin (orcid)0000-0001-9279-4722 aut Surgical management of osteochondral lesions of the first metatarsal head: A systematic review 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Treating osteochondral lesions of the first metatarsal head can help reducing pain and preventing end-stage arthritic cartilage degeneration and hallux rigidus. Several surgical techniques have been described, but no clear indications are reported. This systematic review aims to offer an overview of the current surgical treatments for focal osteochondral lesions of the first metatarsal head.Methods: The selected articles were examined to extract data about population, surgical technique, and clinical outcomes.Results: Eleven articles were included. Mean age at surgery was 38,2 years. Osteochondral autograft was the most used technique. After surgery, an improvement was achieved in AOFAS, VAS, and hallux dorsiflexion but not in plantarflexion.Conclusion: There is limited evidence and knowledge regarding the surgical management of the first metatarsal head osteochondral lesions. Various surgical techniques have been proposed, drawn from other districts. Good clinical results have been reported. Further high-level comparative studies are necessary to design an evidence-based treatment algorithm. Osteochondral lesions Osteochondritis dissecans First metatarsal head Hallux rigidus Osteochondral autograft Mazzotti, Antonio verfasserin (orcid)0000-0001-9974-4787 aut Zielli, Simone Ottavio verfasserin aut Arceri, Alberto verfasserin (orcid)0000-0002-6486-6300 aut Langone, Laura verfasserin (orcid)0000-0002-5378-4908 aut Gerardi, Simone verfasserin aut Faldini, Cesare verfasserin aut Enthalten in Foot and ankle surgery Amsterdam [u.a.] : Elsevier Science, 1994 29, Seite 387-392 Online-Ressource (DE-627)320452476 (DE-600)2006229-1 (DE-576)091142725 1460-9584 nnns volume:29 pages:387-392 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 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_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.83 Rheumatologie Orthopädie VZ AR 29 387-392 |
| spelling |
10.1016/j.fas.2023.05.007 doi (DE-627)ELV060120789 (ELSEVIER)S1268-7731(23)00099-1 DE-627 ger DE-627 rda eng 610 VZ 44.83 bkl Artioli, Elena verfasserin (orcid)0000-0001-9279-4722 aut Surgical management of osteochondral lesions of the first metatarsal head: A systematic review 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Treating osteochondral lesions of the first metatarsal head can help reducing pain and preventing end-stage arthritic cartilage degeneration and hallux rigidus. Several surgical techniques have been described, but no clear indications are reported. This systematic review aims to offer an overview of the current surgical treatments for focal osteochondral lesions of the first metatarsal head.Methods: The selected articles were examined to extract data about population, surgical technique, and clinical outcomes.Results: Eleven articles were included. Mean age at surgery was 38,2 years. Osteochondral autograft was the most used technique. After surgery, an improvement was achieved in AOFAS, VAS, and hallux dorsiflexion but not in plantarflexion.Conclusion: There is limited evidence and knowledge regarding the surgical management of the first metatarsal head osteochondral lesions. Various surgical techniques have been proposed, drawn from other districts. Good clinical results have been reported. Further high-level comparative studies are necessary to design an evidence-based treatment algorithm. Osteochondral lesions Osteochondritis dissecans First metatarsal head Hallux rigidus Osteochondral autograft Mazzotti, Antonio verfasserin (orcid)0000-0001-9974-4787 aut Zielli, Simone Ottavio verfasserin aut Arceri, Alberto verfasserin (orcid)0000-0002-6486-6300 aut Langone, Laura verfasserin (orcid)0000-0002-5378-4908 aut Gerardi, Simone verfasserin aut Faldini, Cesare verfasserin aut Enthalten in Foot and ankle surgery Amsterdam [u.a.] : Elsevier Science, 1994 29, Seite 387-392 Online-Ressource (DE-627)320452476 (DE-600)2006229-1 (DE-576)091142725 1460-9584 nnns volume:29 pages:387-392 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 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_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.83 Rheumatologie Orthopädie VZ AR 29 387-392 |
| allfields_unstemmed |
10.1016/j.fas.2023.05.007 doi (DE-627)ELV060120789 (ELSEVIER)S1268-7731(23)00099-1 DE-627 ger DE-627 rda eng 610 VZ 44.83 bkl Artioli, Elena verfasserin (orcid)0000-0001-9279-4722 aut Surgical management of osteochondral lesions of the first metatarsal head: A systematic review 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Treating osteochondral lesions of the first metatarsal head can help reducing pain and preventing end-stage arthritic cartilage degeneration and hallux rigidus. Several surgical techniques have been described, but no clear indications are reported. This systematic review aims to offer an overview of the current surgical treatments for focal osteochondral lesions of the first metatarsal head.Methods: The selected articles were examined to extract data about population, surgical technique, and clinical outcomes.Results: Eleven articles were included. Mean age at surgery was 38,2 years. Osteochondral autograft was the most used technique. After surgery, an improvement was achieved in AOFAS, VAS, and hallux dorsiflexion but not in plantarflexion.Conclusion: There is limited evidence and knowledge regarding the surgical management of the first metatarsal head osteochondral lesions. Various surgical techniques have been proposed, drawn from other districts. Good clinical results have been reported. Further high-level comparative studies are necessary to design an evidence-based treatment algorithm. Osteochondral lesions Osteochondritis dissecans First metatarsal head Hallux rigidus Osteochondral autograft Mazzotti, Antonio verfasserin (orcid)0000-0001-9974-4787 aut Zielli, Simone Ottavio verfasserin aut Arceri, Alberto verfasserin (orcid)0000-0002-6486-6300 aut Langone, Laura verfasserin (orcid)0000-0002-5378-4908 aut Gerardi, Simone verfasserin aut Faldini, Cesare verfasserin aut Enthalten in Foot and ankle surgery Amsterdam [u.a.] : Elsevier Science, 1994 29, Seite 387-392 Online-Ressource (DE-627)320452476 (DE-600)2006229-1 (DE-576)091142725 1460-9584 nnns volume:29 pages:387-392 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 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_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.83 Rheumatologie Orthopädie VZ AR 29 387-392 |
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10.1016/j.fas.2023.05.007 doi (DE-627)ELV060120789 (ELSEVIER)S1268-7731(23)00099-1 DE-627 ger DE-627 rda eng 610 VZ 44.83 bkl Artioli, Elena verfasserin (orcid)0000-0001-9279-4722 aut Surgical management of osteochondral lesions of the first metatarsal head: A systematic review 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Treating osteochondral lesions of the first metatarsal head can help reducing pain and preventing end-stage arthritic cartilage degeneration and hallux rigidus. Several surgical techniques have been described, but no clear indications are reported. This systematic review aims to offer an overview of the current surgical treatments for focal osteochondral lesions of the first metatarsal head.Methods: The selected articles were examined to extract data about population, surgical technique, and clinical outcomes.Results: Eleven articles were included. Mean age at surgery was 38,2 years. Osteochondral autograft was the most used technique. After surgery, an improvement was achieved in AOFAS, VAS, and hallux dorsiflexion but not in plantarflexion.Conclusion: There is limited evidence and knowledge regarding the surgical management of the first metatarsal head osteochondral lesions. Various surgical techniques have been proposed, drawn from other districts. Good clinical results have been reported. Further high-level comparative studies are necessary to design an evidence-based treatment algorithm. Osteochondral lesions Osteochondritis dissecans First metatarsal head Hallux rigidus Osteochondral autograft Mazzotti, Antonio verfasserin (orcid)0000-0001-9974-4787 aut Zielli, Simone Ottavio verfasserin aut Arceri, Alberto verfasserin (orcid)0000-0002-6486-6300 aut Langone, Laura verfasserin (orcid)0000-0002-5378-4908 aut Gerardi, Simone verfasserin aut Faldini, Cesare verfasserin aut Enthalten in Foot and ankle surgery Amsterdam [u.a.] : Elsevier Science, 1994 29, Seite 387-392 Online-Ressource (DE-627)320452476 (DE-600)2006229-1 (DE-576)091142725 1460-9584 nnns volume:29 pages:387-392 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 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_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.83 Rheumatologie Orthopädie VZ AR 29 387-392 |
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10.1016/j.fas.2023.05.007 doi (DE-627)ELV060120789 (ELSEVIER)S1268-7731(23)00099-1 DE-627 ger DE-627 rda eng 610 VZ 44.83 bkl Artioli, Elena verfasserin (orcid)0000-0001-9279-4722 aut Surgical management of osteochondral lesions of the first metatarsal head: A systematic review 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Treating osteochondral lesions of the first metatarsal head can help reducing pain and preventing end-stage arthritic cartilage degeneration and hallux rigidus. Several surgical techniques have been described, but no clear indications are reported. This systematic review aims to offer an overview of the current surgical treatments for focal osteochondral lesions of the first metatarsal head.Methods: The selected articles were examined to extract data about population, surgical technique, and clinical outcomes.Results: Eleven articles were included. Mean age at surgery was 38,2 years. Osteochondral autograft was the most used technique. After surgery, an improvement was achieved in AOFAS, VAS, and hallux dorsiflexion but not in plantarflexion.Conclusion: There is limited evidence and knowledge regarding the surgical management of the first metatarsal head osteochondral lesions. Various surgical techniques have been proposed, drawn from other districts. Good clinical results have been reported. Further high-level comparative studies are necessary to design an evidence-based treatment algorithm. Osteochondral lesions Osteochondritis dissecans First metatarsal head Hallux rigidus Osteochondral autograft Mazzotti, Antonio verfasserin (orcid)0000-0001-9974-4787 aut Zielli, Simone Ottavio verfasserin aut Arceri, Alberto verfasserin (orcid)0000-0002-6486-6300 aut Langone, Laura verfasserin (orcid)0000-0002-5378-4908 aut Gerardi, Simone verfasserin aut Faldini, Cesare verfasserin aut Enthalten in Foot and ankle surgery Amsterdam [u.a.] : Elsevier Science, 1994 29, Seite 387-392 Online-Ressource (DE-627)320452476 (DE-600)2006229-1 (DE-576)091142725 1460-9584 nnns volume:29 pages:387-392 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 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_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.83 Rheumatologie Orthopädie VZ AR 29 387-392 |
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Osteochondral lesions Osteochondritis dissecans First metatarsal head Hallux rigidus Osteochondral autograft |
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Artioli, Elena @@aut@@ Mazzotti, Antonio @@aut@@ Zielli, Simone Ottavio @@aut@@ Arceri, Alberto @@aut@@ Langone, Laura @@aut@@ Gerardi, Simone @@aut@@ Faldini, Cesare @@aut@@ |
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surgical management of osteochondral lesions of the first metatarsal head: a systematic review |
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Surgical management of osteochondral lesions of the first metatarsal head: A systematic review |
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Background: Treating osteochondral lesions of the first metatarsal head can help reducing pain and preventing end-stage arthritic cartilage degeneration and hallux rigidus. Several surgical techniques have been described, but no clear indications are reported. This systematic review aims to offer an overview of the current surgical treatments for focal osteochondral lesions of the first metatarsal head.Methods: The selected articles were examined to extract data about population, surgical technique, and clinical outcomes.Results: Eleven articles were included. Mean age at surgery was 38,2 years. Osteochondral autograft was the most used technique. After surgery, an improvement was achieved in AOFAS, VAS, and hallux dorsiflexion but not in plantarflexion.Conclusion: There is limited evidence and knowledge regarding the surgical management of the first metatarsal head osteochondral lesions. Various surgical techniques have been proposed, drawn from other districts. Good clinical results have been reported. Further high-level comparative studies are necessary to design an evidence-based treatment algorithm. |
| abstractGer |
Background: Treating osteochondral lesions of the first metatarsal head can help reducing pain and preventing end-stage arthritic cartilage degeneration and hallux rigidus. Several surgical techniques have been described, but no clear indications are reported. This systematic review aims to offer an overview of the current surgical treatments for focal osteochondral lesions of the first metatarsal head.Methods: The selected articles were examined to extract data about population, surgical technique, and clinical outcomes.Results: Eleven articles were included. Mean age at surgery was 38,2 years. Osteochondral autograft was the most used technique. After surgery, an improvement was achieved in AOFAS, VAS, and hallux dorsiflexion but not in plantarflexion.Conclusion: There is limited evidence and knowledge regarding the surgical management of the first metatarsal head osteochondral lesions. Various surgical techniques have been proposed, drawn from other districts. Good clinical results have been reported. Further high-level comparative studies are necessary to design an evidence-based treatment algorithm. |
| abstract_unstemmed |
Background: Treating osteochondral lesions of the first metatarsal head can help reducing pain and preventing end-stage arthritic cartilage degeneration and hallux rigidus. Several surgical techniques have been described, but no clear indications are reported. This systematic review aims to offer an overview of the current surgical treatments for focal osteochondral lesions of the first metatarsal head.Methods: The selected articles were examined to extract data about population, surgical technique, and clinical outcomes.Results: Eleven articles were included. Mean age at surgery was 38,2 years. Osteochondral autograft was the most used technique. After surgery, an improvement was achieved in AOFAS, VAS, and hallux dorsiflexion but not in plantarflexion.Conclusion: There is limited evidence and knowledge regarding the surgical management of the first metatarsal head osteochondral lesions. Various surgical techniques have been proposed, drawn from other districts. Good clinical results have been reported. Further high-level comparative studies are necessary to design an evidence-based treatment algorithm. |
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| score |
7.398221 |