The Efficacy of Microfracture Combined with Extracorporeal Shock Wave Therapy for Treating Osteochondral Lesion of the Talus and the Quality of Regenerated Cartilage: A Retrospective Cohort Study and MRI Assessment

• Published in: Journal of clinical medicine Vol. 12; no. 8; p. 2966
• Main Authors: Li, Jian, Ma, Qiaozhi, Hou, Jianlei, Liu, Yufen, Lu, Pengfei, Liu, Pengwei, Zhang, Zhongwen, Xing, Gengyan
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 19-04-2023; MDPI
• Subjects: Ankle; Anklebone; Arthritis; Bone diseases; Bone regeneration; Care and treatment; Cartilage; Clinical medicine; Cohort analysis; College students; Edema; Health aspects; Lithotripsy; Magnetic resonance imaging; Manual workers; Medical research; Medicine, Experimental; Orthopedic surgery; Pain; Patient outcomes; Patients; China; cartilage regeneration; ankle function; extracorporeal shock wave therapy; hyaline-like cartilage; T2 mapping; osteochondral lesion of the talus
• ISSN: 2077-0383; 2077-0383
• DOI: 10.3390/jcm12082966

osteochondral lesion of the talus (OLT) is a common disease in the physically active population, and extracorporeal shock wave therapy (ESWT) is a noninvasive treatment. We hypothesized that microfracture (MF) combined with ESWT may have great potential to become a novel combination treatment of OLT.
the OLT patients who received MF + ESWT or MF + platelet-rich plasma (PRP) injection were retrospectively included, with a minimal follow up of 2y. The daily activating VAS, exercising VAS, and American Orthopedic Foot and Ankle Society Ankle-Hindfoot Score (AOFAS) were used to assess the efficacy and functional outcome, and ankle MRI T2 mapping was used to evaluate the quality of regenerated cartilage in the OLT patients.
only transient synovium-stimulated complications were found during the treatment sessions; the complication rate and daily activating VAS did not have differences between groups. MF + ESWT had a higher AOFAS and a lower T2 mapping value than MF + PRP at the 2y follow up.
the MF + ESWT had superior efficacy for treating OLT, which resulted in better ankle function and more hyaline-like regenerated cartilage, superior to the traditional MF + PRP.