126 196

Cited 64 times in

Osteochondral lesion of the talus: could age be an indication for arthroscopic treatment?

Authors
 Woo Jin Choi  ;  Bom Soo Kim  ;  Jin Woo Lee 
Citation
 American Journal of Sports Medicine, Vol.40(2) : 419-424, 2012 
Journal Title
 American Journal of Sports Medicine 
ISSN
 0363-5465 
Issue Date
2012
MeSH
Adult ; Age Factors ; Ankle Injuries/complications ; Ankle Injuries/diagnostic imaging ; Ankle Injuries/physiopathology ; Ankle Joint/diagnostic imaging ; Ankle Joint/physiopathology ; Ankle Joint/surgery* ; Arthralgia/etiology ; Arthralgia/physiopathology* ; Arthroscopy ; Bone Marrow/surgery* ; Cartilage, Articular/diagnostic imaging ; Cartilage, Articular/injuries ; Cartilage, Articular/surgery* ; Female ; Humans ; Logistic Models ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Multivariate Analysis ; Radiography ; Retrospective Studies ; Surveys and Questionnaires ; Talus/diagnostic imaging ; Talus/injuries ; Talus/surgery* ; Time Factors ; Treatment Outcome ; Young Adult
Keywords
ankle ; osteochondral lesion ; age ; clinical outcome
Abstract
BACKGROUND: Several studies have addressed the issue of the feasibility of arthroscopic surgery in older patients, usually by choosing an arbitrary age limit. HYPOTHESIS: Patient age is not associated with poor clinical outcome after arthroscopic surgery for osteochondral lesion of the talus (OLT), and other patient variables are the major determinants of clinical success/failure. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Between 2001 and 2008, 173 ankles underwent arthroscopic marrow stimulation treatment for OLT and were stratified into 6 age groups (<20, 20-29, 30-39, 40-49, 50-59, and ≥60 years). Bivariate and multivariate analyses were performed to determine the effect of age on clinical outcome. RESULTS: There were no significant differences among the 6 age groups in the preoperative and postoperative visual analog scale (VAS) for pain or the American Orthopaedic Foot and Ankle Society (AOFAS) score. There was a significant increase in the duration of symptoms (P < .001) and a significant decrease in the incidence of trauma (P = .01) in the older group. Both the size of the osteochondral defect and the number of associated intra-articular lesions independently predicted a poor clinical outcome (P < .001). CONCLUSION: In contrast to some of the previous studies on this topic, we found that increased age was not an independent risk factor for poor clinical outcome after arthroscopic treatment for OLT. We did find that older patients were less likely to have a history of trauma and had a longer duration of symptoms, had smaller osteochondral defects, and had more associated intra-articular lesions.
Files in This Item:
T201200155.pdf Download
DOI
21984689
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Bom Soo(김범수)
Lee, Jin Woo(이진우) ORCID logo https://orcid.org/0000-0002-0293-9017
Choi, Woo Jin(최우진)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89454
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse