Comparative Clinical and Functional Results of Microfracture and Mosaicoplasty in Medial Talus Osteochondral Lesions

Authors : Sönmez Sağlam, Mehmet Arıcan, Zekeriya Okan Karaduman, Mücahid Osman Yücel, Raşit Emin Dalaslan

Pages : 306-314

Doi:10.31832/smj.1519991

View : 105 | Download : 82

Publication Date : 2024-09-30

Article Type : Research Paper

Abstract :Introduction: This study aims to compare the early clinical and functional outcomes of two surgical interventions, microfracture and mosaicoplasty, in the treatment of medial talus osteochondral lesions (OCLs). Materials and Methods: This retrospective study included patients treated in the Department of Orthopaedics and Traumatology, Faculty of Medicine, Düzce University from January 2016 to January 2022. Patients were divided into two groups as those who underwent arthroscopic microfracture (Group 1, n=20) and those who underwent mosaicoplasty (Group 2, n=17). Preoperative and postoperative follow-up data were evaluated with visual analogue scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) scores at baseline, 6 months and 12 months. Results: The mean age was 37.9±12.5 years in the microfracture group and 38±12.46 years in the mosaicoplasty group (p=0.981). Both groups showed significant improvement in VAS scores from baseline to the 6th and 12th months, and pain reduction was more significant in the mosaicoplasty group (p<0.001). AOFAS scores improved significantly in both groups and the mosaicoplasty group had better functional results at 12 months (p=0.069). Conclusions: Microfracture and mosaicoplasty are effective in the treatment of medial talus OCLs to reduce pain and improve clinical status in the early period.
Keywords : Talus, osteokondral lezyonlar, mikrofraktür, mozaikoplasti

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