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KMID : 0361620180530030210
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Journal of the Korean Orthopaedic Association
2018 Volume.53 No. 3 p.210 ~ p.217
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Osteochondral Lesion of the Talus in Children and Adolescents
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Song Mi-Hyun
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Abstract
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Osteochondral lesion of the talus (OLT) is a disease affecting the subchondral bone and articular cartilage of the talus, which may cause fragmentation and displacement of the osteochondral lesion. The stability of the joint and the size of the lesion are important prognostic factors. Conservative treatment is preferred in the initial treatment of OLT in skeletal immature patients because it has a more favorable prognosis than adult OLT in terms of the healing potential and improvement of symptoms. Surgery is recommended when the conservative outcome is unsatisfactory and the fragment is large or displaced. Surgical procedures, including marrow stimulation technique, autologous osteochondral transplantation, and autologous chondrocyte implantation, were performed depending on the condition of the osteochondral lesion.
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KEYWORD
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osteochondral lesion, talus, ankle, children, adolescents
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