Studija slučaja
https://doi.org/10.21857/ypn4oc4rk9
Surgical Treatment of the Bilateral Osteochondral Lesions of the Talus - Case Report
Matej Črep
; School of Medicine, University of Zagreb, Zagreb, Croatia
Alan Ivković
orcid.org/0000-0003-0236-6244
; Department of Orthopaedics and Traumatology, University Hospital „Sveti Duh“, Zagreb, Croatia
*
Marko Pećina
; Department of Medical Sciences, Croatian Academy of Sciences and Arts, Zagreb, Croatia
* Dopisni autor.
Sažetak
Osteochondral lesions of the talus (OLTs) are significant injuries to the ankle joint, characterized by damaged articular cartilage and underlying subchondral bone. In 3/4 of the cases, OLTs are caused by traumatic events such as sprain or fracture. This case report presents the treatment of a 57-year-old female patient with bilateral OLTs. The patient initially reported persistent pain in her left ankle, with imaging revealing an OLT with an extensive subchondral cyst. An arthroscopic procedure debrided the cyst and initiated the healing response. One year later, she developed similar symptoms in her right ankle, necessitating a second arthroscopic intervention and spongioplasty. Shortly after the second surgery, the left ankle's condition deteriorated, requiring a more complex open surgery involving an osteotomy of the medial malleolus, debridement of the cyst, and instillation of the ready-to-use calcium phosphate paste for bone void filling. After the surgeries, the patient was included in a physical therapy program and reported significant pain relief in both of her ankles and successfully returned to her normal daily activities. A follow-up of 6 years for intervention on the right ankle and 5 years for the last (second) intervention on the left ankle shows a very satisfied subjective and objective status for both ankles. This case highlights the challenges with diagnosing and managing OLTs, emphasizing the need for a customized surgical approach based on individual lesion characteristics. Early detection and appropriate surgical interventions are beneficial for improving patient outcomes and the quality of life in individuals affected by these lesions.
Ključne riječi
Talus; Osteochondral lesions; OLT; Osteochondral defects; Ankle; Cystic defects; Surgical treatment
Hrčak ID:
326027
URI
Datum izdavanja:
20.12.2024.
Posjeta: 0 *