Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions Wichita KS

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

Kenneth Jansson
(316) 631-1600
2778 N Webb Rd
Wichita, KS
Business
Advanced Orthopaedics Associates
Specialties
Orthopedics, Sports Medicine, Arthroscopic Surgery
Insurance
Insurance Plans Accepted: Almost all insurance plans accepted.
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes

Doctor Information
Primary Hospital: Kansas Surgery and Recovery Center; Surgicare of Wichita
Residency Training: Wilford Hall USAF Medical Center, Lackland AFB, TX
Medical School: Darthmouth, 1982
Additional Information
Member Organizations: American College of Sports Medicine American Medical Association American Medical Society for Sports Medicine American Orthopaedic Society for Sports Medicine Arthroscopy Association of North America Fellow American Academy of Orthopaedic Surgeo


Data Provided By:
Samuel C Jack, MD FACS
2121 W Maple St
Wichita, KS
Gender
Male
Education
Medical School: Oklahoma
Graduation Year: 1955

Data Provided By:
Christopher Dan Miller, MD
(316) 838-2020
1507 W 21st St N Ste 1
Wichita, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1988

Data Provided By:
Molly Dianne Black, MD
(316) 268-5988
Ortho Res Program 929 N St Francis
Wichita, KS
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 2001

Data Provided By:
Benjamin Davies Young
(316) 962-3030
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Suhail Akhter Ansari, MD
(413) 221-3078
517 E Douglas Ave Apt 501
Wichita, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Grant Med Coll, Univ Of Bombay, Bombay, Maharashtra, India
Graduation Year: 1983
Hospital
Hospital: Southwest Med Ctr, Liberal, Ks; Morton County Hosp, Elkhart, Ks; Stevens County Hosp, Hugoton, Ks
Group Practice: Orthopaedic Specialists

Data Provided By:
Abbey Lynn Kennedy
(316) 293-2665
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Timothy Noshi Ghattas
(316) 962-3030
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Vinitha R Shenava, MD
(316) 613-4755
1947 Founders Circle
Wichita, KS
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 2000

Data Provided By:
Ryan Woodward Livermore
(316) 293-2665
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

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