Osteochondral Lesions of the Talus & AVN Management - Past Present and Future

Description

This presentation by Nilesh Makwana discusses the intricacies of cartilage damage, specifically in the ankle, and outlines both traditional and innovative treatment options for osteochondral defects. He begins by explaining the anatomy and the irreversible nature of cartilage damage, emphasizing that once cartilage is compromised, it does not heal itself. He covers how damage manifests, mentioning studies that link trauma to defects and the classification of such defects using MRI. The speaker details various treatment modalities, including microfracture, autologous chondrocyte transplantation (ACI), and new techniques involving the use of biomimetic scaffolds and stem cell therapies, highlighting the outcomes associated with each method. He addresses the importance of subchondral bone condition in recovery and the indications for osteochondral transplantation. The presentation also touches on complications and the predictors of success for surgical interventions, supported by data from systematic reviews and personal clinical experiences. Throughout the talk, visual aids, including MRI scans and procedural illustrations, enhance understanding of the discussed methodologies and results, and the session concludes with a Q&A segment.

DOI: 10.1302/3114-221976

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