To describe a new surgical technique for osteochondral lesions of the ankle, using bone marrow concentrate on a scaffold and homologous bone graft positioned through a retrograde approach. Many surgical options for ankle osteochondral lesions have been described, and the ideal treatment is still debated. Bone marrow stimulating techniques are recommended for cystic lesions, with some concerns regarding the healing potential of the subchondral bone. In case of wide osteochondral defects, regenerative solutions are preferred but a massive chondral debridement is usually required. To overcome these problems, a novel technique is proposed.
Faldini, C., Mazzotti, A., Artioli, E., Ruffilli, A., Barile, F., Zielli, S.O., et al. (2023). A novel retrograde technique for ankle osteochodral lesions: the sub-endo-chondral regenerative treatment (secret). MUSCULOSKELETAL SURGERY, 107(3), 1-337 [10.1007/s12306-022-00767-6].
A novel retrograde technique for ankle osteochodral lesions: the sub-endo-chondral regenerative treatment (secret)
Faldini, C;Mazzotti, A;Artioli, E;Ruffilli, A;Barile, F;Zielli, S O;Geraci, G
2023
Abstract
To describe a new surgical technique for osteochondral lesions of the ankle, using bone marrow concentrate on a scaffold and homologous bone graft positioned through a retrograde approach. Many surgical options for ankle osteochondral lesions have been described, and the ideal treatment is still debated. Bone marrow stimulating techniques are recommended for cystic lesions, with some concerns regarding the healing potential of the subchondral bone. In case of wide osteochondral defects, regenerative solutions are preferred but a massive chondral debridement is usually required. To overcome these problems, a novel technique is proposed.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
