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Lesion depth and marrow stimulation results.

Wael Abdalkarim Aldahshan¹, Ashraf Mohammed Abdelaziz¹, Faisal Ahmad Elsherief¹

¹Faculty of Medicine for Girls, Al-Azhar University, 6th district Nasser City, Cairo, Egypt.

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons

|December 25, 2022

Summary

Osteochondral lesion depth significantly impacts marrow stimulation outcomes. Lesions less than 5 mm deep showed better results than those over 5 mm, highlighting depth as a key factor in treatment success.

Keywords:

Depth Marrow stimulation Osteochondral lesions of the talus Prognostic factors

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Area of Science:

Orthopedic surgery
Sports medicine
Regenerative medicine

Background:

Osteochondral lesions (OCLs) of the talus are common injuries.
Treatment outcomes for OCLs can vary significantly.
Marrow stimulation is a common surgical technique for OCLs.

Purpose of the Study:

To evaluate the impact of osteochondral lesion depth on treatment outcomes after marrow stimulation.
To determine if OCL depth is an independent prognostic factor for clinical success.

Main Methods:

Prospective cohort study of 55 patients with talar OCLs.
Patients divided into two groups based on lesion depth: ≤5 mm and >5 mm.
Follow-up averaged 30 months, assessing clinical outcomes using Foot and Ankle Outcome Scores (FAOS).

Main Results:

Both groups showed significant improvement in FAOS (P < 0.001).
Group A (≤5 mm depth) achieved higher final FAOS (90 ± 4.3) compared to Group B (>5 mm depth) (75 ± 6.4).
Time to full weight-bearing was shorter for shallower lesions (12 weeks vs. 16 weeks).

Conclusions:

Osteochondral lesion depth is an independent factor influencing outcomes of arthroscopic marrow stimulation.
Lesions <5 mm deep generally have superior clinical outcomes compared to those >5 mm deep.
OCL depth is an important prognostic indicator for arthroscopic marrow stimulation of the talus.