2021 Annual Meeting Foot & Ankle Access Pass-Osteochondral Lesions of the Talus: Factors Predictive of Cartilage Integrity

Osteochondral Lesions of the Talus: Factors Predictive of Cartilage Integrity

Video Transcription

Video Summary

The video transcript discusses a study on osteochondral lesions of the talus (OLTs) and factors predictive of cartilage integrity. The study aimed to evaluate the association between radiographic and MRI findings and articular cartilage integrity in patients undergoing ankle arthroscopy for OLTs. The retrospective study included 54 OLTs in 53 patients, with an average age of 13.6 years. The majority of cases had disrupted cartilage in patients with closed distal tibial fices, while intact cartilage was more common in patients with an open fices. MRI assessment showed a 95% sensitivity and 75% specificity for cartilage integrity, with an accuracy of 89%. Regression analysis created a predictive model, with radiographic stage providing the highest diagnostic ability. The accurate prediction of cartilage integrity in OLTs is crucial for guiding treatment decisions.

Asset Caption

Dr. S. Clifton Willimon

Keywords

osteochondral lesions of the talus

cartilage integrity

ankle arthroscopy

radiographic findings

MRI assessment