How is osteochondral defect treated? The common treatment strategies of symptomatic OLTs include nonsurgical treatment with rest, cast immobilisation and use of NSAIDs; surgical treatment includes surgical excision of the lesion, excision and curettage, excision
How is osteochondral defect treated?
The common treatment strategies of symptomatic OLTs include nonsurgical treatment with rest, cast immobilisation and use of NSAIDs; surgical treatment includes surgical excision of the lesion, excision and curettage, excision combined with curettage and microfracturing, filling of the defect with autogenous cancellous …
How serious is osteochondral defect?
When osteochondral defects are present, they can range in their severity: Slight pain caused by damaged cartilage. Moderate movement problems and pain caused by fragments of bone and cartilage. Total loss of cartilage, leaves bones grinding together and often severe pain.
What is an osteochondral defect of talus?
An osteochondral lesion of the talus (OLT) is an area of abnormal, damaged cartilage and bone on the top of the talus bone (the lower bone of the ankle joint). This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL).
What causes an osteochondral defect?
The causes of an osteochondral defect of the knee are still unclear; however, some theories include deficient blood supply to the injured region, direct trauma, repetitive strain, or heredity.
Is osteochondral defect a fracture?
Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. Such lesions are a tear or fracture in the cartilage covering one of the bones in a joint. The cartilage can be torn, crushed or damaged and, in rare cases, a cyst can form in the cartilage.
Can you walk on a talus fracture?
You should be able to walk on it, but not without pain. Displaced. The pain, swelling, and tenderness are greater. You may not be able to put weight on the injured ankle.
What happens if you break your talus bone?
Because the talus is important for ankle movement, a fracture often results in substantial loss of motion and function. A talus fracture that does not heal properly can lead to complications, including a limp, arthritis, and chronic pain. For this reason, most talus fractures require surgery.
What can be done about osteochondral lesions of the talus?
Repair, replacement, or regenerative procedures should be considered for patients with refractory lesions or larger lesions. Osteochondral lesions of the talus encompass a variety of pathological lesions, including osteochondral defects, osteochondritis dissecans, and osteochondral fractures.
Are there any nonoperative treatments for talus cysts?
Subchondral cyst formation * OLT = osteochondral lesion of the talus. Nonoperative treatment for acute, nondisplaced osteochondral lesions of the talus and cystic lesions has been associated with successful clinical results in about 50% of cases 5, 24, 25.
Are there treatments for osteochondral defects of the ankle?
There is a wide variety of treatment strategies for osteochondral defects of the ankle, with new techniques that have substantially increased over the last decade.
What causes deep ankle pain with osteochondral lesions?
An osteochondral ankle defect is a lesion of the talar cartilage and subchondral bone caused primarily by single or multiple traumatic events, leading to partial or complete detachment of the fragment. Defects cause deep ankle pain associated with weightbearing.