Research Information System
Thesis Type: Expertise In Medicine
Institution Of The Thesis: Gazi Üniversitesi, Tıp Fakültesi, Turkey
Approval Date: 2017
Student: TOYGUN KAĞAN EREN
Supervisor: MUHAMMET BAYBARS ATAOĞLU
Abstract:Purpose: The treatment algorithm of talus osteochondral lesions is very controversial. Treatment options have different advantages and disadvantages. The aim of this study is to compare arthroscopic cell-free implantation with microfracture, the most commonly preferred treatment modality, clinically and radiologically. Materials and Methods: Clinical and radiological outcomes of arthroscopically treated patients who were diagnosed with talar osteochondral lesions between the years of 2007-2015 were evaluated at Gazi University Medical Faculty Orthopedics and Traumatology Clinic between. Preoperative and postoperative clinical evaluations of patients were performed with AOFAS hindfoot scale and radiological evaluations with MOCART scale. Results: 62 patients (microfracture group n=22, scaffold group n=40) with talar osteochondral lesions were evaluated. 35 patients were male, 27 were female with a mean follow up time of 41 months. Clinical improvement was observed in both groups (p<0,05). The scaffold group was more successful than microfracture group clinically (p<0,05). Clinical results were better in male, younger (<45 years) patients and traumatic lesions (p<0,05). There was no significant difference between the two methods according to the total MOCART scores (p>0,05), but scaffold method was more successful in integration to border zone and effusion subgroups. Conclusions: According to our short term results, successful results were obtained by both microfracture and scaffold implantation. Scaffold group was clinically more successful than microfracture, although not radiologically.