№ 2 / 2016 / 56-61

Osteochondral lesions of the trochlea tali: modern approaches to surgical treatment (review)

Abstract

Osteochondral lesions of the trochlea tali (OLTT) are a topical issue that is not sufficiently covered in the domestic professional orthopedic and trauma literature. OLTT lead to the dramatically rapid development of severe deforming osteoarthritis of the ankle joint in young patients able to work. Currently, the urgent problem is early diagnosis, before radiographic signs of lesions and before the «pathological fracture» stage. In this case, mosaic osteochondroplasty of the trochlea tali (MOCPTT) is recognized as the method of choice for treating OLTT. Research is focused on decreasing injury of intervention. In the future, widespread use of biotechnology, achievements of tissue engineering, etc is expected. Introduction of modern diagnostic (MSCT, MRI, arthroscopy, etc.) and treatment methods (cell technologies, tissue engineering, etc.) in orthopedic and traumatologic practice led to complicated systematization and optimization of the treatment strategy and tactics. Today, there are several approaches to surgical treatment of OLTT, each of which has its advantages and disadvantages. The use of mosaic osteochondroplasty for surgical treatment of OLTT best meets the treatment objectives.

Key words

arthroscopy, trochlea tali, osteochondral defect, mosaic osteochondroplasty, osteochondral lesions of the trochlea tali, osteochondral autograft, foot and ankle joint surgery

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About Authors (Correspondence):

Kuznetsov V.V. – traumatologist, e-mail: vkuznecovniito@gmail.com

Pakhomov I.A. – doctor of medical sciences, leading researcher, head of department for foot and ankle-joint surgery, e-mail: pahomovigor@inbox.ru

Full Text

9-2-2016.pdf

Received: 19/05/2016