Summary: Statistically significant improvement in PROs and high rates of return to sport were achieved following composite grafting to treat unstable talar OCD in adolescent athletes.

Purpose

To evaluate the patient-reported outcomes (PROs), return to activity, and osteochondral healing based upon magnetic resonance imaging (MRI) using the Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) 2.0 score following arthroscopic layered cancellous autograft bone and morselized allograft cartilage (composite) grafting for osteochondritis dissecans (OCD) of the talus in adolescent patients.

Methods

An IRB-approved review of demographic and operative data, imaging, and prospectively collected preoperative and postoperative PROs was accomplished. Consecutive patients treated for talar OCD (indicated for symptomatic, unstable lesions) with arthroscopic debridement, cancellous autografting, and implantation of morselized allograft cartilage (BioCartilage; Arthrex, Naples, FL) grafting (January 2015 - October 2022) with a minimum one year follow up were included. The MOCART 2.0 score was employed to assess postoperative MRIs.

Results

The study population consisted of 20 ankles with talar OCD. The average age at presentation was 14.5 ± 2.0 years with an average follow up of 1.7 years ± 10.6 months (range: 1-4.2 years). Postoperatively, 81.3% of athletes reported a return to their preoperative sport after an average of 8.5 ± 3.0 months. There was a statistically significant increase across all five domains of the FAOS from pre- and post-treatment. All lesions demonstrated stable lesion filling with incorporated bony elements below the augmented fibrocartilage surface. A mean MOCART score of 66.7 ± 15.0 reflected appropriate contour and stability of surface fibrocartilage with some signal irregularity of the fibrocartilage matrix. There was no significant correlation between MOCART scores and PROs (P > 0.05).

Conclusion

Statistically significant improvement in PROs and high rates of return to sport were achieved following composite grafting to treat unstable talar OCD in adolescent athletes. The authors recommend this technique as an effective strategy for addressing both the osseous and chondral components of the defect with minimal morbidity.

Prospective Blinded Randomised Controlled Trial on the Long-term Effects of Pulsed Electromagnetic Field Therapy for Achilles Tendinopathy ePoster Presentation Samuel Ka-Kin Ling, MBChB, ChM, FHKCOS, FRCSEd, FHKAM, HONG KONG Man Chi Ko, PhD, HONG KONG Patrick S. H. Yung, MBChB, FRCS(Orth), FHKCOS, FHKAM, FRCS, HONG KONG
Perioperative Changes of Hindfoot Alignment after Total Knee Arthroplasty in Rheumatoid Arthritis ePoster Presentation Yoshiharu Shimozono, MD, PhD, JAPAN Hiromu Ito, MD, PhD, JAPAN Shuichi Matsuda, MD, PhD, JAPAN
Subtalar Arthroscopic Surgery Utilizing 1.9-mm Diameter Needle Arthroscopy for Osteochondral Lesions of the Subtalar Joint Without any Invasive Distraction: A Report of Three Cases ePoster Presentation Yoshiharu Shimozono, MD, PhD, JAPAN Daisuke Mori, MD, JAPAN Masahiko Kobayashi, MD, PhD, JAPAN Fumiharu Yamashita, MD, PhD, JAPAN
Evolving Trends in Return to Sport After Surgical Treatment of Osteochondral Lesions of the Talus: A Systematic Review and Meta-analysis up to 2024 ePoster Presentation Luca Berveglieri, MD, ITALY Francesca Vannini, MD, ITALY Edoardo Cassanelli, MD, ITALY Tosca Cerasoli, MD, ITALY Federico Gaiani, MD, ITALY Cesare Faldini, Prof., ITALY
The Effectiveness of Hindfoot Endoscopic Surgery for Posterior Ankle Impingement Syndrome due to OS Trigonum in High-level Athletes ePoster Presentation Yuta Matsumae, MD, JAPAN Shota Morimoto, MD, PhD, JAPAN Nobuyoshi Suzuki, MD, JAPAN Hideyuki Sawada, MD, JAPAN Masashi Nakamura, MD, JAPAN Tomoya Iseki, MD, PhD, JAPAN
All-Inside and All-Knotless Repair with Soft Tissue Anchors: A Retrospective Study of a New Surgical Technique for Chronic Ankle Instability ePoster Presentation Vítor Macedo-Campos, MD, PORTUGAL Luís Fabião, MD, PORTUGAL Rita Ferreira Castro, MD, PORTUGAL Luís M. Martins, MD, PORTUGAL Filipe Sá Malheiro, MD, PORTUGAL Bruno S. Pereira, MD, PhD, Prof., PORTUGAL
The Added Diagnostic Value of the Bright Rim Sign to Conventional MRI Assessment of Anterior Talofibular Ligament Disruption ePoster Presentation Tarek M. T. Ghandour, MD, EGYPT
Panoramic Versus Standard Arthroscopes : A Cadaveric Analysis of Field of View ePoster Presentation Ronny Lopes, MD, FRANCE Thais Dutra Vieira, MD, FRANCE
Retrospective Evaluation of Bone Marrow Stimulation in the Treatment of Osteochondral Defects: MRI and Clinical Outcomes at 3, 6, 12, and 24 Months ePoster Presentation Wiktoria Regina Skała, Student , POLAND Urszula E. Zdanowicz, MD, POLAND
Ankle-Go Score is Associated with the Probability of Becoming Coper after Lateral Ankle Sprain: A 1-year Prospective Cohort Study ePoster Presentation Ronny Lopes, MD, FRANCE Alexandre Hardy, MD, PhD, FRANCE François Fourchet, PhD, SWITZERLAND Brice Picot, PhD, FRANCE
Validation Of The Ankle-Go™ After Acute Achilles Tendon Rupture Repair. ePoster Presentation Ronny Lopes, MD, FRANCE
Non-Operative Treatment for Osteochondral Lesions of the Talus is Safe and Provides a Significant Improvement of Clinical Outcomes at 1-year Follow-up ePoster Presentation Tristan Buck, MD, NETHERLANDS Jason Steman , MD, NETHERLANDS Jari Dahmen, MD, BSc, NETHERLANDS Quinten G.H. Rikken, MD, NETHERLANDS Inger Sierevelt, NETHERLANDS Sjoerd A.S. Stufkens, MD, PhD, NETHERLANDS Gino M. M. J. Kerkhoffs, MD, PhD, Prof., NETHERLANDS
One in Four Patients Surgically Treated for Symptomatic Lateral Ankle Instability Have Osteochondral Lesions of the Ankle Joint ePoster Presentation Xinyi Lim, MBBS, SINGAPORE Sammy Khin Yee Loh, MBBS, MRCS, SINGAPORE Choon Chiet Hong, MBBS, MMed (Ortho), MPH, FRCSEd (Orth), SINGAPORE
Evaluation of Hounsfield Unit Values of the Subchondral Bone in the Healthy Talus ePoster Presentation Masashi Nakamura, MD, JAPAN Shota Morimoto, MD, PhD, JAPAN Futoshi Morio, MD, JAPAN Yuta Matsumae, MD, JAPAN Tomoya Iseki, MD, PhD, JAPAN Toshiya Tachibana, MD, PhD, JAPAN
Efficacy of Arthroscopic Brostrom Procedure in Chronic Lateral Ankle Instability Patients With and Without Generalized Joint Laxity: A Prospective and Comparative Indian Study ePoster Presentation Abhishek Kini, DNB(Orth) Dip.Sportsmedicine(IOC), INDIA
The Relationship Between the Morphology of the Incisura Fibularis Tibiae and the Pattern of Posterior Malleolus Fractures ePoster Presentation Papa Kyei, MBChB, SOUTH AFRICA Collen Sandile Nkosi, MBChB, MMed ortho surg , FC Ortho (SA), SOUTH AFRICA
Retromalleolar Fibular Groove Morphology Differs According to the Level of the Assessed Axial Computed Tomography Scan ePoster Presentation Takuji Yokoe, MD, PhD, JAPAN Takuya Tajima, MD, PhD, JAPAN Etsuo Chosa, MD, PhD, Prof., JAPAN
Thickness of Simple Calcaneal Tuberosity Avulsion Fractures Influences the Optimal Fixation Method Employed ePoster Presentation Chunliang (Chunliang) Wang, MD, TAIWAN Chia-Hung Hung, MD, TAIWAN Chung-Hsun Chang, MD, PhD, TAIWAN
Effect of Focused Extracorporeal Shock Wave Therapy in Intramedullary Screw Fixation for Fifth Metatarsal Stress Fractures in Athletes ePoster Presentation Shota Morimoto, MD, PhD, JAPAN Tomoya Iseki, MD, PhD, JAPAN Mitsuki Shimizu, MD, JAPAN Hideyuki Sawada, MD, JAPAN Masashi Nakamura, MD, JAPAN Yuta Matsumae, MD, JAPAN Toshiya Tachibana, MD, PhD, JAPAN
Functional and Structural Outcomes Following Arthroscopic Microfracture for Osteochondral Lesions of the Talus ePoster Presentation Silvampatti Ramasamy Sundararajan, MS(Orth), INDIA Rajagopalakrishnan Ramakanth, D.ortho, DNB(ortho), D.SICOT, INDIA
Simultaneous Bilateral Surgery for Accessory Naviculars Does Not Have a Negative Effect on Postoperative Outcomes ePoster Presentation Miyu Inagawa, MD, JAPAN Yasuyuki Jujo, MD, JAPAN Yoshiharu Shimozono, MD, PhD, JAPAN Kosui Iwashita, MD, JAPAN Masato Takao, MD, PhD, JAPAN
Five-year Clinical Follow-up of Arthroscopically Treated Chronic Ankle Instability ePoster Presentation Ronny Lopes, MD, FRANCE André Thès, MD, FRANCE Thomas Bauer, MD, PhD, FRANCE Stéphane Guillo, MD, FRANCE
Knee Pain Frequently Improves 1 Year After Foot or Ankle Surgery ePoster Presentation David Carmody, MBBS FRACS, AUSTRALIA Kaka Martina, RN- PhD Candidate, AUSTRALIA Lucy J. Salmon, PhD, AUSTRALIA
Comparing Posteromedial and Centrolateral Talar Dome Roc in Young Athletes ePoster Presentation Olivia Okoli, BA, UNITED STATES Hubert Tuyishime, BA, UNITED STATES Chiamaka Obilo, BA, UNITED STATES Kevin G. Shea, MD, UNITED STATES Charles M. Chan, MD, UNITED STATES
Ankle Arthroscopy Combined with Hardware Removal for Chronic Pain after Fracture ePoster Presentation Dimitrios Nikolopoulos, PhD, GREECE George Safos, MD, GREECE Petros Safos, MD, GREECE Konstantinos Moustakas, MD, GREECE Spyridon Bonatsos, MD, GREECE Gregory Kyriakopoulos, MD, GREECE Dimitrios Kalpaxis, MD, GREECE
Achilles Peritendinopathy Refractory to Conservative Treatment: Endoscopic or Open Tenolysis? A Long Term Follow Up ePoster Presentation Gian Luigi Canata, MD, ITALY
Percutaneous Repair of Achilles Tendon Rupture Under Local Anesthesia: A Safe and Effective Treatment Option in Recent Years ePoster Presentation Tilemachos Papageorgiou, MD, GREECE Stefanos Christos Papageorgiou, MD, GREECE Ioannis Valanos, MD, GREECE Ioannis D. Theodosis, MD, GREECE Christos D. Papageorgiou, MD, PhD, GREECE
Manual Examination Underperforms to Estimate Joint Laxity and Anterolateral Ligament Tears in Ankles with Previous Sprain: a Correlation Study Using Instrumented Stress Testing within MRI with the Porto Ankle Testing Device (PATD) ePoster Presentation Renato Andrade, PhD student, PORTUGAL Bruno S. Pereira, MD, PhD, Prof., PORTUGAL Eluana Gomes, PhD, PORTUGAL Cristina Valente, PhD, PORTUGAL Adriana Gonçalves , BSc, PORTUGAL Daniela Dantas, BSc, PORTUGAL Carlos Macedo, MD, PORTUGAL João Paulo Vilas-Boas, PhD, PORTUGAL C. Niek van Dijk, MD, PhD, NETHERLANDS João Espregueira-Mendes, MD, PhD, Full Prof., PORTUGAL
Validation And Reliability Of The Simple Achille Value (Sav) In Achilles Tendon Disorders ePoster Presentation Ronny Lopes, MD, FRANCE Pierre Jean Lambrey, MD, FRANCE
Non-operative Management for Osteochondral Lesions of the Tibial Plafond is Safe but Results in Marginal Improvements of Patient-reported Outcomes: A 2-year Prospective Follow-up Study ePoster Presentation Quinten G.H. Rikken, MD, NETHERLANDS Jari Dahmen, MD, BSc, NETHERLANDS Sjoerd A.S. Stufkens, MD, PhD, NETHERLANDS Gino M. M. J. Kerkhoffs, MD, PhD, Prof., NETHERLANDS
Predicting Ankle Injury Severity in High School Football Players: A Machine Learning Approach ePoster Presentation Rohan M Shah, BA, UNITED STATES Dillan Prasad, MS, UNITED STATES Ravi Ameet Patel, BA, UNITED STATES Nicholas D'ambrose, BA, UNITED STATES Christy Collins, PhD, UNITED STATES Michael Terry, MD, UNITED STATES Vehniah K. Tjong, MD, FRCSC, UNITED STATES
Outcomes After Initial Non-Operative Treatment of Osteochondral Lesions of The Talus (OLT) In Skeletally Immature Patients, 2 Out of 3 Patients Convert to Surgery ePoster Presentation Jason Steman , MD, NETHERLANDS Tristan Buck, MD, NETHERLANDS Jari Dahmen, MD, BSc, NETHERLANDS Peter Struijs, MSc, NETHERLANDS Sjoerd A.S. Stufkens, MD, PhD, NETHERLANDS Gino M. M. J. Kerkhoffs, MD, PhD, Prof., NETHERLANDS
All-Inside Endoscopic Classic Bröstrom-Gould Technique – Medium Term Results ePoster Presentation Choon Chiet Hong, MBBS, MMed (Ortho), MPH, FRCSEd (Orth), SINGAPORE Christel Charpail, MD, FRANCE Charles Kon Kam King, MBBS, FRCS, SINGAPORE Stéphane Guillo, MD, FRANCE
Endoscopic Calcaneal Speedbridge Technique: Decreased Postoperative Complication Rate in Insertional Achilles Tendinopathy ePoster Presentation Ronny Lopes, MD, FRANCE
All-Inside Arthroscopic Modified Broström-Gould Procedure with Single Double Loaded Suture Anchor for the Chronic Lateral Ankle Instability ePoster Presentation Yi Hsuan Lin, MD, TAIWAN Joe Chih-Hao Chiu, MD, PhD, TAIWAN Chieh-An Chuang, MD, TAIWAN
Utility of Weight-bearing Computed Tomography in Postoperative Assessment of Ankle Fractures ePoster Presentation Mateusz Malik, MD, POLAND Jakub Kwiatkowski, MD, POLAND Artur Miroslaw Gadek, MD, PhD, POLAND Agnieszka Lechowska-Liszka, MD, PhD, POLAND Henryk Liszka, MD, POLAND
Description of the Simple Ankle Value: A Simplified Patient-reported Outcome Measure for the Assessment of Ankle and Hindfoot Function ePoster Presentation Ronny Lopes, MD, FRANCE Pierre-Alban Bouché, MD, FRANCE
Higher Preoperative Range of Motion is Predictive of Good Mid-term Results in the Surgical Management of Osteochondral Lesions of the Talus: A Prospective Multicentric Study ePoster Presentation Ronny Lopes, MD, FRANCE Thomas Amouyel, MD, FRANCE
Are Patients with CLAI More Functionally Impaired Compared to Those with Symptomatic Single Lateral Ankle Sprain? ePoster Presentation Sammy Khin Yee Loh, MBBS, MRCS, SINGAPORE Xinyi Lim, MBBS, SINGAPORE Choon Chiet Hong, MBBS, MMed (Ortho), MPH, FRCSEd (Orth), SINGAPORE
Haglund's Deformity with Achilles Old Partial Rupture and Chronic Degeneration: A Novel Technique Combining Ultrasound and Endoscopic Approach ePoster Presentation Federico Ibañez, MD, SPAIN David Campillo Recio, MD, PhD, SPAIN
Non-Primary Arthroscopic Bone Marrow Stimulation for Osteochondral Lesions of the Talus Yields Limited Improvements in Patient Reported Outcomes Compared to Primary Cases: A Prospective 2-year Follow-up Study ePoster Presentation Quinten G.H. Rikken, MD, NETHERLANDS Jari Dahmen, MD, BSc, NETHERLANDS Julian Hollander, BSc, NETHERLANDS Jason Steman , MD, NETHERLANDS Sjoerd A.S. Stufkens, MD, PhD, NETHERLANDS Gino M. M. J. Kerkhoffs, MD, PhD, Prof., NETHERLANDS
Achilles Tendon Rupture Injuries In Major League Soccer: A 10-Year Analysis Of Injury Rate And Return To Play ePoster Presentation Camden Bohn, BA, UNITED STATES Catherine Hand, BS, UNITED STATES Daanish Khazi-Syed, BS, UNITED STATES Anne Timmermann, BS, UNITED STATES Josh Chang, BS, UNITED STATES Lauren Fertig, BS, UNITED STATES Eric Giza, MD, UNITED STATES Robert H. Brophy, MD, UNITED STATES Kirk Anthony McCullough, MD Brian Forsythe, MD, UNITED STATES
Return to Sport after Surgery for Osteochondral Lesions of the Talar Dome. Results of a Multicenter Prospective Study on 58 Patients ePoster Presentation Ronny Lopes, MD, FRANCE Thomas Bauer, MD, PhD, FRANCE

Menu

Search Filters

Talar Osteochondritis Treatment with Arthroscopic Composite Cancellous Autograft and Morselized Cartilage Allograft: Improved Clinical Outcomes and High Rate of Return to Sport

Talar Osteochondritis Treatment with Arthroscopic Composite Cancellous Autograft and Morselized Cartilage Allograft: Improved Clinical Outcomes and High Rate of Return to Sport

Purpose

Methods

Results

Conclusion

Foot & Ankle ePosters

Sign-in to ISAKOS

Talar Osteochondritis Treatment with Arthroscopic Composite Cancellous Autograft and Morselized Cartilage Allograft: Improved Clinical Outcomes and High Rate of Return to Sport

Talar Osteochondritis Treatment with Arthroscopic Composite Cancellous Autograft and Morselized Cartilage Allograft: Improved Clinical Outcomes and High Rate of Return to Sport

Purpose

Methods

Results

Conclusion