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Osteochondral Lesions

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Ankle Arthroscopy

Abstract

A patient with OCD typically experiences deep ankle pain on or after activity. This chapter describes the cause of this pain. For diagnosis, additional diagnostics are often needed. The preferred diagnostic strategy is mentioned. For treatment, the most important treatment options are described in detail. It concerns debridement and bone marrow stimulation for primary lesions of <15 mm. Retrograde drilling is for large cystic lesions. Fixation is for large osteochondral defects (> 15 mm in size). Osteochondral transplants, calcaneal osteotomy, and application of a HemiCAP are considered for treatment of secondary osteochondral defects.

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Authors and Affiliations

  1. Department of Orthopedic Surgery Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands

    C. Niek van Dijk

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  1. C. Niek van Dijk
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© 2014 Springer-Verlag Berlin Heidelberg

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van Dijk, C.N. (2014). Osteochondral Lesions. In: Ankle Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35989-7_8

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  • DOI: https://doi.org/10.1007/978-3-642-35989-7_8

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35988-0

  • Online ISBN: 978-3-642-35989-7

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