Document Detail


The influence of limited postoperative weight-bearing on the outcome of drilling in osteochondritis dissecans tali.
MedLine Citation:
PMID:  12838438     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: This prospective study was performed to assess the influence of limited weight-bearing on the outcome of osteochondral drilling in the treatment of an osteochondritis dissecans tali. MATERIALS AND METHODS: Of a total of 85 patients, 68 (80%; 37 male, 31 female, average age 28 years) were followed up after open or arthroscopic drilling between July 1990 and March 2000. The total outcome of 6 weeks limited postoperative weight-bearing (n=26) was compared with the outcome of 12 weeks limited weight-bearing (n=42). The average follow-up time was 4.8 years after surgery. RESULTS: A significant increase (p<0.01) in the HSS and AOFAS scores was found for the entire study group ranging from HSS: 82 points; AOFAS: 68 points before surgery to HSS: 94 points; AOFAS: 90 points at the time of assessment. The duration of limited weight-bearing did not significantly influence the outcome of surgery. Through osteochondral drilling, the average AOFAS score increased 20 points (73/93) and the HSS score 12 points (84/96) in the 6-week group and the AOFAS score 23 points (65/88) and the HSS score 12 points (80/92) in the 12-week group. The total outcome between the two postoperative treatment regimens showed no significant difference. CONCLUSION: Osteochondral drilling is an adequate therapy for osteochondritis dissecans tali. The postoperative duration of limited weight-bearing does not significantly influence the surgical outcome.
Authors:
Michael Bohnsack; Julia Fischer; Wolfram Lipka; Stefan Schmolke; Constanze Börner; Carl Joachim Wirth; Oliver Rühmann
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Publication Detail:
Type:  Journal Article     Date:  2003-07-01
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  123     ISSN:  0936-8051     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-11-07     Completed Date:  2004-04-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  447-50     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Hannover Medical School, Anna-Von-Borries-Str. 1-7, 30625 Hannover, Germany. bohnsack@annastift.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arthroscopy
Child
Exercise Therapy
Female
Humans
Male
Middle Aged
Osteochondritis Dissecans / rehabilitation,  surgery*
Postoperative Period
Prospective Studies
Time Factors
Weight-Bearing*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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