四川大学学报（医学版）2024，Vol.55Issue(2)：273-278,6.DOI:10.12182/20240360206
距骨骨软骨损伤治疗的研究进展
Advances in the Treatment of Osteochondral Lesions of the Talus
摘要
Abstract
Osteochondral lesion of the talus(OLT)is a localized cartilage and subchondral bone injury of the talus trochlea.OLT is caused by trauma and other reasons,including osteochondritis dissecans of the talus(OCD)and talus osteochondral tangential fracture.OLT can develop from being asymptomatic to subchondral bone cysts accompanied by deep ankle pain.OLT tends to occur on the medial and lateral sides of the talar vault.OLT seriously affects the patients'life and work and may even lead to disability.Herein,we reviewed advances in the treatment of OLT and the strengths and weaknesses of various treatments.Different treatment methods,including conservative treatments and surgical treatments,can be adopted according to the different subtypes or clinical symptoms of OLT.Conservative treatments mostly relieve symptoms in the short term and only slow down the disease.In recent years,it has been discovered that platelet-rich plasma injection,microfracture,periosteal bone grafting,talar cartilage transplantation,allograft bone transplantation,reverse drilling under robotic navigation,and other methods can achieve considerable benefits when each of these treatment methods is applied.Furthermore,microfracture combined with platelet-rich plasma injections,microfracture combined with cartilage transplantation,and various other treatment methods combined with anterior talofibular ligament repair have all led to good treatment outcomes.关键词
距骨骨软骨损伤/逆行钻孔/机器人导航/软骨移植/骨移植/微骨折/综述Key words
Osteochondral lesions of the talus/Retrograde drilling/Robotic navigation/Cartilage transplantation/Bone transplantation/Microfracture/Review引用本文复制引用
李永胜,董傲铮铮,黄泽祈,李文翠,邓桢翰..距骨骨软骨损伤治疗的研究进展[J].四川大学学报（医学版）,2024,55(2):273-278,6.基金项目
广东省基础与应用基础研究基金(No.2023A1515220072、No.2021A1515010706、No.2023A1515010102),广东省重点临床学科-骨科(No.2000005)和深圳市重点医学学科建设基金(No.SZXK025)资助 （No.2023A1515220072、No.2021A1515010706、No.2023A1515010102）
