2015 ISAKOS Biennial Congress ePoster #135

Sport Activity After AMIC-Aided Repair of Osteochondral Lesions of the Talus

Martin Wiewiorski, MD, Basel SWITZERLAND
Alexej Barg, MD, Liestal SWITZERLAND
Victor Valderrabano, MD, PhD, Basel SWITZERLAND

Orthopaedic Department, University Hospital Basel, Basel, SWITZERLAND

The FDA has not cleared the following pharmaceuticals and/or medical device for the use described in this presentation. The following pharmaceuticals and/or medical device are being discussed for an off-label use: Geistlich, Chondroguide

Summary: We report sport activity after AMIC-aided repair of OCLT

ePoster Not Provided
Rate:

Abstract:

Introduction

The aim of this study was to determine whether AMIC-aided osteochondral repair of the talus is a clinically successful treatment and enables patients to pursue regular and ongoing recreational
sporting activities.

Methods

Sixty patients were retrospectively analyzed to determine their sporting and recreational activities at an average of 30.7 months postoperatively (range, 12-70 months). The clinical evaluation included the visual analog scale (VAS) for pain, the Tegner activity scale, and the Activity Rating Scale (ARS).

Results

The VAS illustrated significant preoperative to postoperative improvements (6.8 to 2.3; P< .01). The Tegner score dropped from 3.2 preoperatively to 3.1 after surgery (P= .87), and the ARS decreased from 2.77 preoperatively to 1.60 postoperatively (P= .16). Regarding sporting activity, 95.3% of the patients were engaged in sports during their lifetimes compared with 51.2% the year before surgery and 55.8% at the time of survey. The duration of sports activities did not significantly change after surgery (P= .87). Of the 43 patients, 33% were very satisfied with the procedure, 51% were satisfied, and 16% were not satisfied.

CONCLUSIONPatients engage in fewer, less frequent sporting activities when a symptomatic osteochondral lesion (OCL) at the talus is present. AMIC-aided repair shows good clinical midterm results and allows patients to return to sporting activity. However, we found patients modify their postoperative sporting activities, and we noted a reduction of participation in high-impact and contact sports.