Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions Waterville ME

Looking for information on Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions in Waterville? We have compiled a list of businesses and services around Waterville 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 Waterville.

Lisa Beth Sauer, MD
30 Chase Ave
Waterville, ME
Specialties
Orthopedics
Gender
Female
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1985

Data Provided By:
Andre Peter Edmonds, MD
(207) 873-3700
325D Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics, Trauma Surgery
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1976

Data Provided By:
James Fenwick Butler III, MD
325C Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1965

Data Provided By:
Catherine E Meikle, MD
(207) 873-1329
325D Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Female
Education
Medical School: Cornell Univ Med Coll, New York Ny 10021
Graduation Year: 1984

Data Provided By:
Jose Antonio Ramirez, MD
(207) 873-6009
325E Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1982

Data Provided By:
Dr.Marc Golden
(207) 873-0200
246 Kennedy Memorial Drive #101
Waterville, ME
Gender
M
Education
Medical School: Umdnj-Sch Of Osteo Med
Year of Graduation: 1985
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.2, out of 5 based on 4, reviews.

Data Provided By:
Marc Steven Golden, DO
(207) 873-0200
246 Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-Sch Of Osteo Med, Stratford Nj 08084
Graduation Year: 1985

Data Provided By:
Vaughn Morgan Collett, MD
246 Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mem Univ Of Newfoundland, Fac Of Med, St Johns, Nfld, Canada
Graduation Year: 1993

Data Provided By:
Robert C Hottentot, DO
(207) 465-3683
180 Kennedy Memorial Dr Ste 30
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mi State Univ, Coll Of Osteo Med, East Lansing Mi 48824
Graduation Year: 1976

Data Provided By:
Albert Joseph Pepe, MD
(207) 465-7436
69 County Rd
Oakland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1966

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