2021 AOSSM-AANA Combined Annual Meeting Recordings-Osteochondral Lesions of the Talus: Factors Predictive of Cartilage Integrity

Osteochondral Lesions of the Talus: Factors Predictive of Cartilage Integrity

Video Transcription

Video Summary

In this video, the speaker discusses a study on osteochondral lesions of the talus (OLT) and factors that predict cartilage integrity. The study aimed to evaluate radiographic and MRI findings and their association with articular cartilage integrity during ankle arthroscopy for OLTs. It was a retrospective study conducted on patients treated between 2010 and 2017, with inclusion criteria of being less than 19 years old at the time of surgery and having a preoperative MRI available for review. The results showed that radiographic stage and MRI grade were predictive of increasing cartilage disruption. The speaker concludes that accurately predicting cartilage integrity in OLTs is important for treatment planning and setting patient expectations. The study identified independent predictors of cartilage integrity, including fiseal status, radiographic stage, MRI grade, and cartilage integrity as determined by MRI. The use of a predictive model with MRI classification and radiographic stage showed the highest diagnostic ability for predicting cartilage integrity at the time of arthroscopy.

Asset Caption

S. Clifton Willimon, MD

Keywords

osteochondral lesions of the talus

cartilage integrity

ankle arthroscopy

radiographic stage

MRI grade