Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions Columbus NE

Looking for information on Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions in Columbus? We have compiled a list of businesses and services around Columbus that should help you with your search. We hope this page helps you find information on Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions in Columbus.

Richard R Cimpl, MD
(402) 563-3644
4508 38th St Ste 133
Columbus, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1978

Data Provided By:
Thomas John Connolly, MD
(402) 563-3644
4508 38th St Ste 133
Columbus, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1990

Data Provided By:
Richard R Cimpl
(402) 563-3644
4508 38th St
Columbus, NE
Specialty
Orthopedic Surgery

Data Provided By:
James R Scott-Miller, MD FACS
(402) 397-6661
651 J E George Blvd
Omaha, NE
Gender
Male
Education
Medical School: Nebraska
Graduation Year: 1954

Data Provided By:
Scott Dana Bigelow, MD
(402) 489-4700
1730 S 70th St Ste 100
Lincoln, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1989

Data Provided By:
Cody S Harlan
(402) 563-3644
4508 38th St
Columbus, NE
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Richard Cimpl
(402) 563-3644
4508 38th St # 133
Columbus, NE
Gender
M
Education
Medical School: Creighton Univ Sch Of Med
Year of Graduation: 1978
Speciality
Orthopedic Surgeon
General Information
Hospital: Columbus Community Hospital
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 2, reviews.

Data Provided By:
Dennis P McGowan, MD
(308) 237-0889
1215 First Ave
Kearney, NE
Business
Dennis P McGowan MD
Specialties
Orthopedics

Data Provided By:
Anthony J Lauder
(402) 559-9800
988095 Nebraska Medical Ctr
Omaha, NE
Specialty
Orthopedic Surgery

Data Provided By:
Allen Sossan
(402) 371-0839
109 N 29th St
Norfolk, NE
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Data Provided By:

Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions

Persistent ankle pain after an ankle sprain could be a sign of a condition called osteochondral lesion of the talus (OLT). The talus is a bone in the ankle between the calcaneus (heel bone) below and the tibia (shin bone) above.

The bottom of the tibia forms a dome over the top of the talus. With OLT, a piece of cartilage from the talus gets pinched by this dome. In more severe cases, a fragment of cartilage breaks off the talus but stays wedged in place. In the worst cases, the fragment is floating free in the joint space.

Other terms used to describe OLT include osteochondritis dissecans, transchondral fracture, talar dome fracture, and flake fracture. The condition is fairly uncommon. It is difficult to diagnose using X-rays, MRIs, or CT scans.

The authors of this study used arthroscopy to diagnose and treat OLT. They graded the condition based on severity as Grade I (mild) through Grade IV (severe). Treatment results were compared to see if outcomes were better for milder forms of the condition. Results showed that arthroscopic grading of OLT does predict final outcome after surgery. This is something that cannot be accomplished with X-rays or other more advanced forms of imaging.

Milder lesions without fragmentation had better results. Patients were more likely to have a good-to-excellent outcome without complications if the cartilage was not torn away. They were not able to compare results based on specific surgery done because there were too many different kinds of operations performed.

For example, some patients had holes drilled in the talus where the fragment had broken off. This procedure is called microfracture. It stimulates new growth of fibrocartilage. Other patients had the loose piece of cartilage removed (excision) with smoothing of the bone where the piece was broken off. And some patients had both excision and drilling.

Almost three-fourths of the group had good-to-excellent results. Most were able to return to all preoperative levels of activity. A few patients had complications such as plantar fasciitis, nerve pain or injury, or pain around the puncture wounds where the arthroscope entered through the skin. These problems all disappeared during the first six months of recovery.

Results of treatment did not appear to be linked with age, gender, or the side affected (right or left ankle). Delays between injury and surgery did not seem to make any difference in the final results. Worker's compensation patients did have poorer results compared with those who were not on worker's comp.

Follow-up was for at least five years. So it was possible to see if the long-term results changed over time. They found that more than one-third of the patients had a deterioration of their good results over time. Deep aching and pain with swelling recurred. Limited motion and instability occurred with degeneration of the joint. The reason(s) for this change was unknown.

The authors were unable to provi...

Click here to read the rest of this article from eOrthopod.com