자가 골연골 이식술 이후에도 지속적으로 통증이 지속되는 내측 거골의 골연골 병변 환자에서 시행된 과상부 절골술 및 비골 절골술: 증례 보고

Osteochondral lesions of the medial talar dome can be challenging to treat, particularly in cases with a large lesion or a subchondral cyst. Autologous osteochondral transplantation harvested from the knee joint after a medial malleolar osteotomy has been considered an effective treatment option in...

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Veröffentlicht in:대한족부족관절학회지 Jg. 29; H. 2; S. 66 - 72
Hauptverfasser: 최준영, 서진수, Jun Young Choi, Jin Soo Suh
Format: Journal Article
Sprache:Koreanisch
Veröffentlicht: 대한족부족관절학회 01.06.2025
Schlagworte:
정형외과학
Talus
Joint realignment surgery
Valgization
Osteochondral lesion
Supramalleolar osteotomy
ISSN:1738-3757, 2288-8551
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Zusammenfassung:Osteochondral lesions of the medial talar dome can be challenging to treat, particularly in cases with a large lesion or a subchondral cyst. Autologous osteochondral transplantation harvested from the knee joint after a medial malleolar osteotomy has been considered an effective treatment option in such scenarios. Despite the favorable outcomes of a supramalleolar osteotomy to realign the mechanical axis of the lower limb in cases of medial talar dome osteochondral lesions, the available literature remains limited to a few studies. This case report presents a woman in her early 40s with persistent pain following autologous osteochondral transplantation for a medial talar dome osteochondral lesion. The patient underwent a supramalleolar osteotomy and a fibular osteotomy to achieve valgus realignment of the weight-bearing axis. The clinical and radiological outcomes were evaluated over a follow-up period of more than 1 year, and the relevant literature was reviewed to highlight the potential benefits of this approach.
Bibliographie:KISTI1.1003/JNL.JAKO202517639603188
ISSN:1738-3757
2288-8551
DOI:10.14193/jkfas.2025.29.2.66