Treatment of Osteochondral Lesions of the Talus with Microfracture Technique and Postoperative Hyaluronan Injection

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dc.contributor.authorDoral, M. N.
dc.contributor.authorBilge, O.
dc.contributor.authorBatmaz, G.
dc.contributor.authorDönmez, G.
dc.contributor.authorTurhan, E.
dc.contributor.authorDemirel, M.
dc.contributor.authorAtay, O. A.
dc.contributor.authorÜzümcügil, A.
dc.contributor.authorAteşok, K.
dc.contributor.authorKaya, D.
dc.date.accessioned2020-03-26T18:32:00Z
dc.date.available2020-03-26T18:32:00Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractThe aim of this study is to report the outcomes of the treatment of talar osteochondral lesions with arthroscopic microfracture technique and postoperative intra-articular hyaluronan injection. Fifty-seven patients (29 men, 28 women) with osteochondral lesions of the talus were included in this prospective randomized clinical study between the years 2003 and 2009. The patients were treated with arthroscopic debridement and microfracture technique. Randomly selected 41 patients were injected intra-articular hyaluronan (injection group). The remaining 16 patients did not receive postoperative injection (non-injection group). Assessment of the pain and functional outcomes was performed using the Freiburg and AOFAS ankle/hindfoot scoring systems. In the injection group, the mean postoperative Freiburg functional and pain scores were significantly higher compared to preoperative functional and pain scores (P < 0.001). Similarly, for the patients in non-injection group, the mean postoperative Freiburg functional and pain scores were significantly higher compared to preoperative functional and pain scores (P < 0.001). The AOFAS functional and pain scores of the patients in the injection group were significantly higher (P < 0.001) postoperatively compared to preoperative scores. Scoring the patients in the non-injection group according to AOFAS system also revealed significantly higher (P < 0.001) postoperative functional and pain scores over preoperative scores. The increase in the postoperative scores was found to be significantly higher in the injection group compared to non-injection group in both Freiburg and AOFAS systems (P < 0.001). Treatment of osteochondral lesions of the talus using microfracture technique significantly improved functional and pain scores postoperatively. Additional treatment with intra-articular hyaluronan injection as an adjunct to microfracture technique may offer better clinical outcomes over microfracture technique alone. Randomized, controlled trial, Level I.en_US
dc.identifier.citationDoral, M. N., Bilge, O., Batmaz, G., Dönmez, G., Turhan, E., Demirel, M., Atay, O. A., Üzümcügil, A., Ateşok, K., Kaya, D., (2012). Treatment of Osteochondral Lesions of the Talus with Microfracture Technique and Postoperative Hyaluronan Injection. Knee Surgery Sports Traumatology Arthroscopy, 20(7), 1398-1403. DOI: 10.1007/s00167-011-1856-7
dc.identifier.doi10.1007/s00167-011-1856-7en_US
dc.identifier.endpage1403en_US
dc.identifier.issn0942-2056en_US
dc.identifier.issue7en_US
dc.identifier.pmid22205098en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1398en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00167-011-1856-7
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28590
dc.identifier.volume20en_US
dc.identifier.wosWOS:000305527400023en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorBilge, O.
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofKnee Surgery Sports Traumatology Arthroscopyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectTalusen_US
dc.subjectOsteochondral lesionen_US
dc.subjectMicrofractureen_US
dc.subjectHyaluronanen_US
dc.subjectIntra-articular injectionen_US
dc.titleTreatment of Osteochondral Lesions of the Talus with Microfracture Technique and Postoperative Hyaluronan Injectionen_US
dc.typeArticleen_US

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