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- W2098496253 startingPage "1107" @default.
- W2098496253 abstract "Background: Osteochondral grafting for the treatment of osteochondral lesions of the talus (OLT) usually requires a medial malleolar osteotomy (MMO) to achieve adequate intraarticular exposure. This study describes the technique used and the results obtained using a modified step-cut MMO for osteochondral grafting of talar dome lesions. Materials and Method: Eleven feet in ten patients underwent modified step-cut MMO prior to osteochondral grafting for OLT. The patients included three women and seven men with a mean age of 40 (range, 20 to 51) years. Modified step-cut MMO consisted of an oblique osteotomy, which was made at approximately 45 degrees to the transverse plane of the proposed traditional step-cut osteotomy, and a vertical osteotomy to the axilla on the medial tibial plafond. Results: In all patients, modified step-cut MMO provided better perpendicular access to lesions than traditional step-cut osteotomy. In all cases, the osteochondral graft plug was accurately set perpendicular to the defect area, and all ten patients experienced uncomplicated osteotomy healing at a mean 8 weeks postoperatively without loss of reduction or malreduction. Conclusion: Modified step-cut MMO is an excellent, reproducible method for perpendicular access to a talar dome lesion. Level of Evidence: IV, Retrospective Case Study" @default.
- W2098496253 created "2016-06-24" @default.
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- W2098496253 date "2008-11-01" @default.
- W2098496253 modified "2023-10-18" @default.
- W2098496253 title "Modified Step-Cut Medial Malleolar Osteotomy for Osteochondral Grafting of the Talus" @default.
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- W2098496253 doi "https://doi.org/10.3113/fai.2008.1107" @default.
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