Talar Osteochondral Defects [recurso electrónico] Diagnosis, Planning, Treatment, and Rehabilitation

This book addresses hot topics relating to talar osteochondritis dissecans: improvements in the accuracy of diagnosis, sound preoperative planning, optimal treatment and procedure-specific rehabilitation protocols. The technical difficulties in each of these areas are identified and evidence-based guidelines are presented. With regard to diagnosis, several chapters discuss the roles of arthroscopy, standard radiography, computed tomography, magnetic resonance imaging and combined imaging modalities (PET/CT and SPECT/CT). The chapters on treatment cover various surgical options and provide an overview of the direct postoperative treatment; in addition, rehabilitation protocols are described for all the treatment procedures. The authors are leading experts in the field of foot and ankle surgery who have aimed to provide the reader with an up-to-date handbook ideal for use in clinical practice. Their reviews and opinions are based firmly on the best currently available evidence. Front Matter....Pages i-xiii Diagnosis of Chondral Injury After Supination Trauma....Pages 1-7 Arthroscopy After Ankle Fracture....Pages 9-20 Diagnosis of Osteochondral Lesions by MRI....Pages 21-30 Diagnosis of Osteochondral Defects of the Talus by Computerized Tomography (CT) and Single-Photon Emission Computed Tomography (SPECT-CT)....Pages 31-42 Diagnosis of Osteochondral Defects by Arthroscopy....Pages 43-50 Preoperative Planning for Osteochondral Defects....Pages 51-54 Surgical Approach to Lateral OLT....Pages 55-65 Approach to Osteochondral Lesions of the Medial Talus....Pages 67-74 Approach to Osteochondral Lesions of the Tibial Plafond....Pages 75-82 Meta-analysis on Therapy....Pages 83-94 Outcome Scores....Pages 95-104 Follow-up Imaging for Osteochondral Lesions of the Ankle....Pages 105-111 Return to Sports....Pages 113-118 Rehabilitation After Bone Marrow Stimulation....Pages 119-127 Rehabilitation After Replacement Procedures (i.e., OATS, Allograft)....Pages 129-134 Rehabilitation After Cartilage Reconstruction....Pages 135-144 Talar Dome Resurfacing with the HemiCap Prosthesis....Pages 145-150 Back Matter....Pages 151-155 This book addresses hot topics relating to talar osteochondritis dissecans (OCD): improvements in the accuracy of diagnosis, sound preoperative planning, optimal treatment, and procedure-specific rehabilitation protocols. The technical difficulties in each of these areas are identified and evidence-based guidelines are presented. With regard to diagnosis, several chapters discuss the roles of arthroscopy, standard radiography, computed tomography, magnetic resonance imaging, and combined imaging modalities (PET/CT and SPECT/CT). The chapters on treatment cover various surgical options and provide an overview of the direct postoperative treatment; in addition, rehabilitation protocols are described for all the treatment procedures. The book has been written by a team of leading experts in the field of foot and ankle surgery from across the globe who have aimed to provide the reader with an up-to-date handbook ideal for use when approaching a patient with a talar OCD. Their reviews and opinions are based firmly on the best currently available evidence