Clinical efficacy of periosteal iliac bone grafting and osteochondral grafting in the treatment of osteochondral injury of the talus
Objective To investigate the differences of clinical effects and imaging findings between autologous osteochondral transplantation and periosteal iliac bone transplantation in the treatment of osteochondral injury of the talus.Methods A retrospective analysis of 20 patients with osteochondral injury of the talus from May 2017 to October 2020 in Xi'an Honghui Hospital was conducted.Periosteal iliac bone graft group:5 males and 3 females;the mean age was(48.12±14.95)years(range:27-72 years).According to the 9 partition method,6 cases were medial and 2 cases were lateral.In the osteochondral transplantation group,there were 8 males and 4 females,aged from 17 to 77 years,with an average age of(41.75±17.87)years.There were 11 cases of the medial and 1 case of the lateral.The American Orthopaedic Foot and Ankle Society(AOFAS)score,visual analogue scale(VAS)and the MOS 36-item short form health survey(SF-36)score were used to evaluate the patients before and after operation.Results There was no significant difference in preoperative AOFAS,VAS score and SF-36 score between the two groups(P>0.05).The AOFAS,VAS and SF-36 score of the two groups were improved compared with those before operation,and the differences were statistically significant(P<0.05).The VAS of the periosteal iliac bone graft group(1.37±0.51)was lower than that of the osteochondral graft group(2.08±0.97),and the differences were statistically significant(P<0.05).Conclusions Both periosteal iliac bone transplantation and osteochondral transplantation can effectively relieve ankle pain and improve ankle function for patients with talus osteochondral injury.Postoperative pain improvement is more obvious for patients with periosteal iliac bone transplantation.
TalusCartilageWounds and injuriesTransplantation,autologousPeriosteum
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NSTL
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