Skip to main content
SpringerLink
Log in

Repair by Microfractures and Perforations

  • Chapter
  • First Online:
Ankle Joint Arthroscopy

  • 637 Accesses

Abstract

Microfractures and microperforations are still the most common technique showing the best results for the repair of chondral lesions with diameter less than 15 mm [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Magnan B, Samaila E, Bondi M, Vecchini E, Micheloni GM, Bartolozzi P. Three-dimensional matrix-induced autologous chondrocytes implantation for osteochondral lesions of the talus: midterm results. Adv Orthopaed. 2012;2012:942174.

    CAS  Google Scholar 

  2. Frenkel SR, DiCesare PE. Degradation and repair of articular cartilage. Front Biosci. 1999;4d:671–85.

    Article  Google Scholar 

  3. Bukwalter JA, Mow VC, Ratcliffe A. Restoration of injured and degenerated articular cartilage. J Am Acad Orthoped Surg. 1994;2(4):192–201.

    Article  Google Scholar 

  4. Shapiro F, Koide S, Glimcher M. Cell origin and differentiation in the repair of full-thickness defects of articular cartilage. Am J Bone Joint Surg. 1993;75A:532–53.

    Article  Google Scholar 

  5. Berndt AL, Harty M. Transchondral fractures (Osteo-chondritis dissecans) of the talus. Am J Bone Joint Surg. 1959;41:988–1020.

    Article  PubMed  Google Scholar 

  6. Evans CH, Ghivizzani SC, Herndon JH, Robbins PD. Gene therapy for the treatment of musculoskeletal diseases. J Am Acad Orthop Surg. 2005;13(4):230–42.

    Article  PubMed  Google Scholar 

  7. Konig F. Uber freie Korper in den Gelenken. Deutsch Zeitschr Chirurg. 1888;27:90–109.

    Article  Google Scholar 

  8. Flick AB, Gould N. 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(4):165–85.

    Article  CAS  PubMed  Google Scholar 

  9. Pick MP. Familial osteochondritis dissecans. Br J Bone Joint Surg. 1955;37 ((1):142–5.

    Article  Google Scholar 

  10. Guettler JH, Demetropoulos CK, Yang KH, Jurist KA. Osteochondral defects in the human knee: influence of defect size on cartilage rim stress and load redistribution to surrounding cartilage. Am J Sports Med. 2004;32(6):1451–8.

    Article  PubMed  Google Scholar 

  11. Mubarak SJ, Carroll NC. Familial osteochondritis dissecans of the knee. Clin Orthop Relat Res. 1979;140:131–6.

    Google Scholar 

  12. Thordarson DB. Talar body fractures. Orthop Clin North Am. 2001;32(1):65–77.

    Article  CAS  PubMed  Google Scholar 

  13. O’Loughlin PF, Heyworth BE, Kennedy JG. Current concepts in the diagnosis and treatment of osteochondral lesions of the ankle. Am J Sports Med. 2010;38(2):392–404.

    Article  PubMed  Google Scholar 

  14. Pridie KH. A method of resurfacing osteoarthritic knee joints. J Bone Joint Surg. 1959;41B:618–9.

    Google Scholar 

  15. Thermann H, Becher C. Microfracture technique for treatment of osteochondral and degenerative chondral lesions of the talus. 2-year results of a prospective study. Unfallchirurg. 2004;107(1):27–32.

    Article  CAS  PubMed  Google Scholar 

  16. Becher C, Thermann H. Results of microfracture in the treatment of articular cartilage defects of the talus. Foot Ankle Int. 2005;26(8):583–9.

    Article  PubMed  Google Scholar 

  17. Gobbi A, Francisco RA, Lubowitz JH, Allegra F, Canata G. Osteochondral lesions of the talus: randomized controlled trial comparing chondroplasty, microfracture, and osteochondral autograft transplantation. Arthroscopy. 2006;22(10):1085–92.

    Article  PubMed  Google Scholar 

  18. Johnson LL. Impact of diagnostic arthroscopy on the clinical judgement of an experienced arthroscopist. Clin Orthop Relat Res. 1982;167:75–83.

    Google Scholar 

  19. Steadman J, Rodkey W, Briggs K, Rodrigo J. The microfracture technique in the management of complete cartilage defect in the knee joint. Der Orthopade. 1999;28:26–32.

    CAS  PubMed  Google Scholar 

  20. Chuckpaiwong B, Berkson EM, Theodore GH. Microfracture for osteochondral lesions of the ankle: outcome analysis and outcome predictors of 105 cases. Arthroscopy. 2008;24(1):106–12.

    Article  PubMed  Google Scholar 

  21. Hankemeier S, Müller EJ, Kaminski A, Muhr G. 10-Year results of bone marrow stimulating therapy in the treatment of osteochondritis dissecans of the talus. Unfallchirurg. 2003;106(6):461–6.

    Article  CAS  PubMed  Google Scholar 

  22. Lee KB, Park HW, Cho HJ, Seon JK. Comparison of arthroscopic microfracture for osteochondral lesions of the talus with and without subchondral cyst. Am J Sports Med. 2015;43(8):1951–6.

    Article  PubMed  Google Scholar 

  23. van Dijk CN, van Bergen CJ. Advancements in ankle arthroscopy. J Am Acad Orthopaed Surg. 2008;16(11):635–46.

    Article  Google Scholar 

  24. Van Dijk CN, Scholte D. Arthroscopy of the ankle joint. Arthroscopy. 1997;13:90–6.

    Article  PubMed  Google Scholar 

  25. Schuman L, Struijs PAA, Van Dijk CN. Arthroscopic treatment for osteochondral defects of the talus. Results at followup at 2 to 11 years. Br J Bone Joint Surg. 2002;84:364–8.

    Article  CAS  Google Scholar 

  26. Steadman et al. Microfracture to treat full-thickness chondral defects: surgical technique, rehabilitation and outcomes. J Knee Surg. 2002;15(3):170–6.

    Google Scholar 

  27. Zengerink M, Szerb I, Hangody L, Dopirak RM, Ferkel RD, Van Dijk CN. Current concepts: treatment of osteochondral ankle defects. Foot Ankle Clin. 2006;11:331–59.

    Article  PubMed  Google Scholar 

  28. van Bergen CJA, de Leeuw PAJ, van Dijk CN. Potential pitfall in the microfracturing technique during the arthroscopic treatment of an osteochondral lesion. Knee Surg Sports Traumatol Arthrosc. 2009;17:184–7.

    Article  PubMed  Google Scholar 

  29. Volpi P, Bait C, Quaglia A, Redaelli A, Prospero E, Cervellin M, Stanco D, de Girolamo L. Autologous collagen-induced chondrogenesis technique (ACIC) for the treatment of chondral lesions of the talus. Knee Surg Sports Traumatol Arthrosc. 2014;22:1320–6.

    CAS  PubMed  Google Scholar 

  30. Valderrabano V, Miska M, Leumann A, Wiewiorski M. Reconstruction of osteochondral lesion of the talus with autologous spongiosa graft and autologous matrix-induced chondogenesis. Am J Sports Med. 2013;41:519–27.

    Article  PubMed  Google Scholar 

  31. Wiewiorski M, Barg A, Valderrabano V. Autologous matrix-induced chondrogenesis in osteochondral lesions of the talus. Foot Ankle Clin. 2013;118:151–8.

    Article  Google Scholar 

  32. Cortese F, McNicholas M, Janes G, Gillogly S, Abelow SP, Gigante A, Coletti N. Arthroscopic delivery of matrix-induced autologous chondrocyte implant: international experience and technique recommendations. Cartilage. 2012;3(2):156–64.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Görmeli G, Karakaplan M, Görmeli CA, Sarıkaya B, Elmalı N, Ersoy Y. Clinical effects of platelet-rich plasma and hyaluronic acid as an additional therapy for talar osteochondral lesions treated with microfracture surgery: a prospective randomized clinical trial. Foot Ankle Int. 2015;36(8):891–900.

    Article  PubMed  Google Scholar 

  34. Riva D, Mamo C, Fanì M, Saccavino P, Rocca F, Momenté M, Fratta M. Single stance stability and proprioceptive control in older adults living at home: gender and age differences. J Aging Res. 2013;2013:561695.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Riva D, Rossitto F, Battocchio L. Postural muscle atrophy prevention and recovery and bone remodelling through high frequency proprioception for astronauts. Acta Astronaut. 2009;65(5):813–9.

    Article  Google Scholar 

  36. Delos Postural Proprioceptive System. http://www.delos-international.com/prodotti.asp?sec=scheda&lang=eng

  37. Tol JL, Struijs PA, Bossuyt PM, van Dijk CN. Treatment strategies in osteochondral defects of the talar dome: a systematic review. Foot Ankle Int. 2000;21(2):119–26.

    Article  CAS  PubMed  Google Scholar 

  38. Verhagen RA, Struijs PA, Bossuyt PM, van Dijk CN. Systematic review of treatment strategies for osteochondral defects of the talar dome. Foot Ankle Clin. 2003;8(2):233–42.

    Article  PubMed  Google Scholar 

  39. van Dijk CN. Osteochondral defect. In: Chan KM, Karlson J, editors. ISAKOS.FIMS world consensus conference on ankle instability; 2005. p. 68–9.

    Google Scholar 

  40. Giannini S, Vannini F. Operative treatment of osteochondral lesions of the talar dome: current concepts review. Foot Ankle Int. 2004;25:168–75.

    Article  PubMed  Google Scholar 

  41. Giannini S, Buda R, Faldini C, Vannini F, Bevoni R, Grandi G, Grigolo B, Berti L. Surgical treatment of osteochondral lesions of the talus in young active patients. Am J Bone Joint Surg. 2005;87(2):28–41.

    PubMed  Google Scholar 

  42. Nakasa T, Adachi N, Kato T, Ochi M. Distraction arthroplasty with arthroscopic microfracture in a patient with rheumatoid arthritis of the ankle joint. J Foot Ankle Surg. 2015;54(2):280–4.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopedic Unit, Sant’Anna Clinical Istitute, Brescia, Italy

    Antonio Zanini, Pierfrancesco Bettinsoli & Andrea Pizzoli

  2. Department of Orthopaedic and Traumatology, ASST Mantova–Carlo Poma, Mantova, Italy

    Manuel Bondi & Andrea Pizzoli

Authors
  1. Antonio Zanini
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Manuel Bondi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Pierfrancesco Bettinsoli
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Andrea Pizzoli
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. University La Sapienza, Latina, Italy

    Francesco Allegra

  2. Santa Maria del Carmine Hospital, Rovereto, Trento, Italy

    Fabrizio Cortese

  3. Department of Orthopedic, Malatesta Novello Clinic, Forli, Italy

    Francesco Lijoi

1 Electronic Supplementary Material

Microfractures (mp4 27,971 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Zanini, A., Bondi, M., Bettinsoli, P., Pizzoli, A. (2020). Repair by Microfractures and Perforations. In: Allegra, F., Cortese, F., Lijoi, F. (eds) Ankle Joint Arthroscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-29231-7_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-29231-7_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29230-0

  • Online ISBN: 978-3-030-29231-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation