자가 골연골 이식술 이후에도 지속적으로 통증이 지속되는 내측 거골의 골연골 병변 환자에서 시행된 과상부 절골술 및 비골 절골술: 증례 보고
Supramalleolar Osteotomy with a Fibular Osteotomy for a Patient with Persistent Pain after Osteochondral Autologous Transplantation Surgery in a Medial Osteochondral Lesion of the Talus: A Case Report
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Osteochondral lesions of the medial talar dome can be challenging to treat, particularly in cases with a large lesion or a subchondral cyst. Autologous osteochondral transplantation harvested from the knee joint after a medial malleolar osteotomy has been considered an effective treatment option in such scenarios. Despite the favorable outcomes of a supramalleolar osteotomy to realign the mechanical axis of the lower limb in cases of medial talar dome osteochondral lesions, the available literature remains limited to a few studies. This case report presents a woman in her early 40s with persistent pain following autologous osteochondral transplantation for a medial talar dome osteochondral lesion. The patient underwent a supramalleolar osteotomy and a fibular osteotomy to achieve valgus realignment of the weight-bearing axis. The clinical and radiological outcomes were evaluated over a follow-up period of more than 1 year, and the relevant literature was reviewed to highlight the potential benefits of this approach.
Abstract
Osteochondral lesions of the medial talar dome can be challenging to treat, particularly in cases with a large lesion or a subchondral cyst. Autologous osteochondral transplantation harvested from the knee joint after a medial malleolar osteotomy has been considered an effective treatment option in such scenarios. Despite the favorable outcomes of a supramalleolar osteotomy to realign the mechanical axis of the lower limb in cases of medial talar dome osteochondral lesions, the available literature remains limited to a few studies. This case report presents a woman in her early 40s with persistent pain following autologous osteochondral transplantation for a medial talar dome osteochondral lesion. The patient underwent a supramalleolar osteotomy and a fibular osteotomy to achieve valgus realignment of the weight-bearing axis. The clinical and radiological outcomes were evaluated over a follow-up period of more than 1 year, and the relevant literature was reviewed to highlight the potential benefits of this approach.