Foot & Ankle International - 2017 FAI Supplement - 50S
data suggesting chorion-containing dHACM is more efficacious than the amnion-only HSAM for tendon repair. The
cause for this difference is unclear, we hypothesize that
cytokine content, important for tendon healing, within
the chorion may be responsible. Components of placental
tissue contribute different cytokines, ECM and cell populations-this study highlights that differences in components-delivered and processing techniques may impact
outcomes and results may vary for different clinical applications. This study highlights a promising treatment option
for a clinically challenging population.
Foot & Ankle International, 38(S1)
DOI: 10.1177/1071100717S00048
©The Author(s) 2017
Methods: This is a retrospective study of 52 cases of varus
talar OCD during the period of 2009.9 to 2014.12. Microfracture or autograft transplantation were applied for the
OCD first according to the dimension of the lesion in all
cases. Then peri-talar osteotomy were performed to correct
ankle or hindfoot mal-alignment in 26 cases according to
the position of varus deformity, including 18 supramalleolar
osteotomy, 6 calcaneal osteotomy and 2 combined distal
tibial and calcaneal double osteotomy. Pre- and post-operative radiographic parameters of TAS, TTS, TLS angles and
MoA were measured on mortise view, lateral view and
hindfoot alignment view respectively. AOFAS-AH score,
VAS score and SF36 score were performed to assess both
subjective and objective outcome.
Keywords: osteochondral defect, varus, osteotomy,
malalignment
Results: For the osteotomy group, there were statistically
changes (P < 0.05) radiographically (TAS, TTS, MoA,
TLS) after surgery. While the radiographic parameters
didn't change in the group without corrective osteotomy.
AOFAS-AH score and VAS score increased significantly (P
< 0.05) in both the osteotomy group and the non-osteotomy
group. The SF36 scores score increased significantly (P <
0.05) in the osteotomy group while not significant in the
non-osteotomy group. The AOFAS-AH and SF36 scores
were statistically higher in the osteotomy group after surgery (p<0.05), and the VAS score were not statistically different in two groups. There were 5 out of 26 revised cases
in the non-osteotomy group while 2 out of 26 revised cases
in the osteotomy group.
Introduction/Purpose: The etiology of osteochondral
defect (OCD) of talus is not fully understood. Besides
trauma, malalignment of ankle or hindfoot may play a role
in the development of OCD. The aim of this study is to
assess the efficacy of peri-talar osteotomy in addition to
routine treatment of OCD of talus.
Conclusion: Peri-talar osteotomy in addition to routine
treatment of OCD of talus results in better radiographic and
functional outcome and lower recurrence for patients of
varus talar osteochondral defect. Mechanical malalignment
may contribute to progression of OCD of talus and thus
should be corrected simultaneously.
Peri-talar Osteotomy as Part of
Treatment of Talar Osteochondral
Defect of Varus Ankle
Bibo Wang, MD, PhD
Category: Ankle
50S
Foot & Ankle International 38(1S)
Table of Contents for the Digital Edition of Foot & Ankle International - 2017 FAI Supplement
TOC 1
TOC 2
TOC 3
TOC Page 4 + Verso
Editorial Board
President's Introduction
AOFAS Annual Meeting Abstracts 2017
AOFAS Annual Meeting Abstracts 2017
Foot & Ankle International - 2017 FAI Supplement - CT1
Foot & Ankle International - 2017 FAI Supplement - CT2
Foot & Ankle International - 2017 FAI Supplement - Cover1
Foot & Ankle International - 2017 FAI Supplement - Cover2
Foot & Ankle International - 2017 FAI Supplement - i
Foot & Ankle International - 2017 FAI Supplement - TOC 1
Foot & Ankle International - 2017 FAI Supplement - iii
Foot & Ankle International - 2017 FAI Supplement - TOC 2
Foot & Ankle International - 2017 FAI Supplement - 1A
Foot & Ankle International - 2017 FAI Supplement - 1B
Foot & Ankle International - 2017 FAI Supplement - v
Foot & Ankle International - 2017 FAI Supplement - TOC 3
Foot & Ankle International - 2017 FAI Supplement - vii
Foot & Ankle International - 2017 FAI Supplement - TOC Page 4 + Verso
Foot & Ankle International - 2017 FAI Supplement - Editorial Board
Foot & Ankle International - 2017 FAI Supplement - x
Foot & Ankle International - 2017 FAI Supplement - President's Introduction
Foot & Ankle International - 2017 FAI Supplement - AOFAS Annual Meeting Abstracts 2017
Foot & Ankle International - 2017 FAI Supplement - 3S
Foot & Ankle International - 2017 FAI Supplement - 4S
Foot & Ankle International - 2017 FAI Supplement - 5S
Foot & Ankle International - 2017 FAI Supplement - 6S
Foot & Ankle International - 2017 FAI Supplement - 7S
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Foot & Ankle International - 2017 FAI Supplement - 43S
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Foot & Ankle International - 2017 FAI Supplement - 45S
Foot & Ankle International - 2017 FAI Supplement - 46S
Foot & Ankle International - 2017 FAI Supplement - AOFAS Annual Meeting Abstracts 2017
Foot & Ankle International - 2017 FAI Supplement - 48S
Foot & Ankle International - 2017 FAI Supplement - 49S
Foot & Ankle International - 2017 FAI Supplement - 50S
Foot & Ankle International - 2017 FAI Supplement - 51S
Foot & Ankle International - 2017 FAI Supplement - 52S
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Foot & Ankle International - 2017 FAI Supplement - 54S
Foot & Ankle International - 2017 FAI Supplement - Cover3
Foot & Ankle International - 2017 FAI Supplement - Cover4
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