Investigation on the prognostic predictors following arthroscopic microfracture for osteochondral lesions of the talus
Refereed conference paper presented and published in conference proceedings
CUHK Authors
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AbstractIntroduction: Arthroscopic microfracture chondroplasty has been widely published as a treatment for osteochondral lesions of the talus (OLT). However, the clinical outcomes are inconsistent and prognostic predictors following arthroscopic microfracture for OLT are unknown. This study aimed to investigate clinical and magnetic resonance imaging (MRI) prognostic outcome predictors after microfracture chondroplasty treatment of OLT.
Methods: This is a retrospective study investigating patients who received arthroscopic microfracture for OLT between 2011 and 2021. The clinical function was evaluated using Foot and Ankle Outcome Scores (FAOS) and Visual Analog Scale. Pre- and postoperative MRI findings, including the size of the defect, lesion location, bone marrow oedema, cysts, effusion, and integrity of the cartilage were recorded. Multivariate regression models were used to evaluate factors affecting the clinical and radiological outcomes.
Results: Total of 21 patients was included in the study (14 men and 7 women) with a mean age of 57 years (range, 45-62). Mean follow-up was 4.2 years, and long-term postoperative and pre- and early postoperative MRI results were compared. The mean FAOS pain significantly improved from a baseline 41.7 ± 11.1 to 69.4 ± 16.7 postoperatively. The mean VAS improved from 7 to 3 postoperatively. Male gender (p=0.008), smoker (p=0.017), atraumatic (p=0.038), were risk factors for a poor outcome. However, there was no significant correlation between MRI parameters and clinical outcomes.
Conclusion: Arthroscopic microfracture provided satisfactory clinical outcomes. Gender, smoking history, and trauma history are independent predictors of clinical outcome, but no MRI parameters were identified as useful prognostic predictors.
Methods: This is a retrospective study investigating patients who received arthroscopic microfracture for OLT between 2011 and 2021. The clinical function was evaluated using Foot and Ankle Outcome Scores (FAOS) and Visual Analog Scale. Pre- and postoperative MRI findings, including the size of the defect, lesion location, bone marrow oedema, cysts, effusion, and integrity of the cartilage were recorded. Multivariate regression models were used to evaluate factors affecting the clinical and radiological outcomes.
Results: Total of 21 patients was included in the study (14 men and 7 women) with a mean age of 57 years (range, 45-62). Mean follow-up was 4.2 years, and long-term postoperative and pre- and early postoperative MRI results were compared. The mean FAOS pain significantly improved from a baseline 41.7 ± 11.1 to 69.4 ± 16.7 postoperatively. The mean VAS improved from 7 to 3 postoperatively. Male gender (p=0.008), smoker (p=0.017), atraumatic (p=0.038), were risk factors for a poor outcome. However, there was no significant correlation between MRI parameters and clinical outcomes.
Conclusion: Arthroscopic microfracture provided satisfactory clinical outcomes. Gender, smoking history, and trauma history are independent predictors of clinical outcome, but no MRI parameters were identified as useful prognostic predictors.
All Author(s) ListKendrew Yu-Hei Choi, Cheryl Shu-Ming Chia, Esther Man-Wai Chow, Lucci Lugee Liyeung, James Francis Griffith, Patrick Shu-Hang Yung, Samuel Ka-Kin Ling
Name of ConferenceThe Hong Kong Orthopaedic Association 42nd Annual Congress
Start Date of Conference05/11/2022
End Date of Conference06/11/2022
Place of ConferenceHong Kong
Country/Region of ConferenceHong Kong
Year2022
Month11
Article numberFP8.6
Pages106 - 106
LanguagesEnglish-United States
