Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions Oswego NY

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William A Mahon
(315) 343-3992
140 W 6th St
Oswego, NY
Specialty
Orthopedic Surgery

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Ronald Williams Baker, MD
(315) 207-0002
140 W 6th St Ste 280
Oswego, NY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of South Fl Coll Of Med, Tampa Fl 33612
Graduation Year: 1996

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George Dermesropian
(315) 598-3585
455 South Fourth Street
Fulton, NY
Specialty
Hand Surgery

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Asamonja Kumar Roy, MD
(315) 593-3643
522 S 4th St Ste 1700
Fulton, NY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Patna Med Coll, Patna Univ, Bihar, India
Graduation Year: 1965

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Braaf Murray
(212) 787-4353
565 W End Ave
New York, NY
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


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Dr.Ronald Baker
(315) 207-0002
140 West 6th Street #270
Oswego, NY
Gender
M
Education
Medical School: Univ Of South Fl Coll Of Med
Year of Graduation: 1996
Speciality
Orthopedic Surgeon
General Information
Hospital: Oswego
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 1, reviews.

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William A Mahon, MD
(315) 343-3993
140 W 6th St Ste 210
Oswego, NY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210
Graduation Year: 1975

Data Provided By:
Richard Michael Blecha, MD
(315) 598-5040
522 S 4th St Ste 1200
Fulton, NY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 1972

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Altner Peter C
(631) 261-4400
VA Med Ctr #112-A, Middleville Rd
Northport, NY
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
John M Feder, MD
(516) 536-2800
36 Lincoln Ave
Rockville Centre, NY
Business
Orlin & Cohen Orthopedic Associates LLP
Specialties
Orthopedics

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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...

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