PMID- 24841940
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR  - 20211021
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 24
IP  - 4
DP  - 2016 Apr
TI  - Lift, drill, fill and fix (LDFF): a new arthroscopic treatment for talar 
      osteochondral defects.
PG  - 1265-71
LID - 10.1007/s00167-014-3057-7 [doi]
AB  - PURPOSE: The purpose of this study was to describe the short-term clinical 
      outcome of a new arthroscopic fixation technique for primary osteochondral talar 
      defects: lift, drill, fill and fix (LDFF). METHODS: Seven patients underwent an 
      arthroscopic LDFF surgery for osteochondral talar defects, the mean follow-up was 
      12 months (SD 0.6). Pre- and postoperative clinical assessment included the 
      American Orthopaedic Foot and Ankle Society Score (AOFAS) and the numeric rating 
      scales (NRS) of pain at rest and during walking. Remodelling and bone ingrowth 
      after LDFF were analysed on weight-bearing radiographs during follow-up. RESULTS: 
      In all patients, LDFF led to an improvement of the AOFAS and NRS of pain. The 
      AOFAS significantly improved from 63 to 99 (p < 0.001). The NRS of pain at rest 
      significantly improved from 2.9 to 0.1 (p = 0.004), and pain with walking 
      significantly improved from 7.6 to 0.1 (p < 0.001). On the final radiographs, 
      five of seven patients showed remodelling and bone ingrowth after LDFF. 
      CONCLUSIONS: The LDFF of an osteochondral talar defect appears to be a promising 
      arthroscopic treatment option for primary talar osteochondral defects. Although 
      the clinical and radiological results of 1-year follow-up are encouraging, more 
      patients and longer follow-up are needed to draw any firm conclusions and 
      determine whether the results stand the test of time. LEVEL OF EVIDENCE: 
      Prospective case series. Therapeutic, Level IV.
FAU - Kerkhoffs, G M M J
AU  - Kerkhoffs GM
AD  - Orthopaedic Research Center Amsterdam, Department of Orthopaedic Surgery, 
      Academic Medical Center, University of Amsterdam, PO Box 22660, 1100 DD, 
      Amsterdam, The Netherlands. g.m.kerkhoffs@amc.nl.
FAU - Reilingh, M L
AU  - Reilingh ML
AD  - Orthopaedic Research Center Amsterdam, Department of Orthopaedic Surgery, 
      Academic Medical Center, University of Amsterdam, PO Box 22660, 1100 DD, 
      Amsterdam, The Netherlands. m.l.reilingh@amc.nl.
FAU - Gerards, R M
AU  - Gerards RM
AD  - Orthopaedic Research Center Amsterdam, Department of Orthopaedic Surgery, 
      Academic Medical Center, University of Amsterdam, PO Box 22660, 1100 DD, 
      Amsterdam, The Netherlands.
FAU - de Leeuw, P A J
AU  - de Leeuw PA
AD  - Orthopaedic Research Center Amsterdam, Department of Orthopaedic Surgery, 
      Academic Medical Center, University of Amsterdam, PO Box 22660, 1100 DD, 
      Amsterdam, The Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20140520
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Arthroscopy/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Orthopedics
MH  - Osteochondritis/etiology/*physiopathology
MH  - *Outcome Assessment, Health Care/methods
MH  - Prospective Studies
MH  - Talus/*physiopathology/*surgery
MH  - Young Adult
OTO - NOTNLM
OT  - Ankle
OT  - Arthroscopy
OT  - Cartilage-saving procedure
OT  - LDFF
OT  - Talar OCD
EDAT- 2014/05/21 06:00
MHDA- 2016/12/15 06:00
CRDT- 2014/05/21 06:00
PHST- 2014/03/08 00:00 [received]
PHST- 2014/05/02 00:00 [accepted]
PHST- 2014/05/21 06:00 [entrez]
PHST- 2014/05/21 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - 10.1007/s00167-014-3057-7 [pii]
AID - 10.1007/s00167-014-3057-7 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2016 Apr;24(4):1265-71. doi: 
      10.1007/s00167-014-3057-7. Epub 2014 May 20.