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Ossoscopy of OCD lesions, stage 2-3, 6 a follow up of 24 cases
ESSKA Academy. Orthner E. Nov 8, 2019; 286366
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Ossoscopy of OCD lesions, stage 2-3, 6 a follow up of 24 cases

AFAS Free Papers

Topic: Arthroscopy

Orthner E.1,2, Schwertner A.3
1Fußzentrum, Wels, Austria, 2Fußzentrum, Klagenfurt, Austria, 3Klinikum, Wels, Austria

Ossoscopy is a new method of treating OCD lesions of the talus. As fully arthroscopic method the lesion the lesion is located arthroscopically and by drilling a 8,5 mm canal to the lesion, the defect is visualiced through the drilling canal and the lesion treated with special instruments, the dead bone removed under arthrocopic control and than filled with autologous bone. 24 cases could be followed between 13 and 129 month (av. 89 month).For follow up MRI, VAS, AOFAS score and clinical examination were performed. 75% of the patients had an excellent, 13% a good result, 8% were average and 4% bad.91,7 % of patients would like to have the operation again. VAS was reduced from 8,04 preop to 2,0 at the time of follow up. AOFAS score increased from 57,7 to 88,8. ROM was increased for dorsiflexion in 42% of the cases more than 10°. There was no deep infection and no bigger complication, no revision.
The method will be presented, as well as indication and non indication. The method is safe and even in cases with cystic lesion an option, as long as the cartiledge is still partially intact and no fracture of the subchondral plate exists.
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