Berichten Patienten über ein Blockadegefühl im Sprunggelenk sowie Schmerzen bei axialer Stoßbelastung, könnte ein Knorpeldefekt vorliegen. Wie Sie das am besten diagnostisch abklären und welche Therapiemöglichkeiten es gibt, lesen Sie im nachfolgenden Beitrag.
Literatur
Looze, C.A., et al., Evaluation and Management of Osteochondral Lesions of the Talus. Cartilage, 2017. 8(1): p. 19–30.
Berndt, A.L. and M. Harty, Transchondral fractures (osteochondritis dissecans) of the talus. The Journal of Bone and Joint Surgery. American Volume, 1959. 41-A: p. 988–1020.
Flick, A.B. and N. Gould, Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions. Foot & Ankle, 1985. 5: p. 165–185.
Pick, M.P., Familial osteochondritis dissecans. J Bone Joint Surg Br, 1955. 37-b(1): p. 142–5.
Thordarson, D.B., Talar body fractures. The Orthopedic Clinics of North America, 2001. 32: p. 65–77, viii.
Guettler, J.H., et al., Osteochondral defects in the human knee: influence of defect size on cartilage rim stress and load redistribution to surrounding cartilage. The American Journal of Sports Medicine, 2004. 32: p. 1451–1458.
Mubarak, S.J. and N.C. Carroll, Familial osteochondritis dissecans of the knee. Clinical Orthopaedics and Related Research, 1979: p. 131–136.
Elias, I., et al., Osteochondral lesions of the talus: localization and morphologic data from 424 patients using a novel anatomical grid scheme. Foot Ankle Int, 2007. 28(2): p. 154–61.
Berndt, A.L. and M. Harty, Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am, 2004. 86-a(6): p. 1336.
Saxena, A. and C. Eakin, Articular talar injuries in athletes: results of microfracture and autogenous bone graft. Am J Sports Med, 2007. 35(10): p. 1680–7.
Dekker, T.J., et al., Treatment of Osteochondral Lesions of the Talus: A Critical Analysis Review. JBJS Rev, 2017. 5(3).
Gobbi, A., et al., Osteochondral lesions of the talus: randomized controlled trial comparing chondroplasty, microfracture, and osteochondral autograft transplantation. Arthroscopy, 2006. 22(10): p. 1085–92.
Sandlin, M.I., et al., Management of Osteochondral Lesions of the Talus. Instr Course Lect, 2017. 66: p. 293–299.
Polat, G., et al., Long-term results of microfracture in the treatment of talus osteochondral lesions. Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA, 2016. 24: p. 1299–1303.
Valderrabano, V., et al., Knee-to-Ankle Mosaicplasty for the Treatment of Osteochondral Lesions of the Ankle Joint. Am J Sports Med, 2009. 37(1_suppl): p. 105s–111s.
Thomas, M., M. Jordan, and E. Hamborg-Petersen, [Arthroscopic treatment of chondral lesions of the ankle joint. Evidence-based therapy]. Unfallchirurg, 2016. 119(2): p. 100–8.
Aurich, M., et al., Treatment of Osteochondral Lesions in the Ankle: A Guideline from the Group „Clinical Tissue Regeneration“ of the German Society of Orthopaedics and Traumatology (DGOU). Z Orthop Unfall, 2017. 155(1): p. 92–99.
Magnan, B., et al., Three-dimensional matrix-induced autologous chondrocytes implantation for osteochondral lesions of the talus: midterm results. Adv Orthop, 2012. 2012: p. 942174.
Walther, M., et al., Reconstruction of focal cartilage defects in the talus with miniarthrotomy and collagen matrix. Operative Orthopadie Und Traumatologie, 2014. 26: p. 603–610.
Kubosch, E.J., et al., Clinical outcome and T2 assessment following autologous matrix-induced chondrogenesis in osteochondral lesions of the talus. Int Orthop, 2016. 40(1): p. 65–71.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gottschalk, O., Altenberger, S. & Walther, M. Ist der Talus-Knorpel noch zu retten?. MMW - Fortschritte der Medizin 159, 46–48 (2017). https://doi.org/10.1007/s15006-017-0065-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s15006-017-0065-9