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Case Reports: Novel treatment (new drug/interventions; established drug/procedure in new situation)
Free vascularised osteochondral flap for the treatment of osteochondritis dissecans of the talus
  1. Georg Schalamon1,
  2. Heinz Bürger2,
  3. Maria Anoshina3 and
  4. Georg Mattiassich1
  1. 1Orthopaedics and Traumatology, Klinik Diakonissen Schladming, Schladming, Austria
  2. 2Privat Hospital Maria Hilf, Klagenfurt, Austria
  3. 3AUVA Unfallkrankenhaus Graz, Graz, Austria
  1. Correspondence to Dr Georg Mattiassich; georg.mattiassich{at}diakonissen.at

Abstract

We present a case report of a man in his 20s with osteochondritis dissecans of the talus, treated with autologous transplantation of a vascularised osteochondral flap. The patient with high level of activity presented to our orthopaedic outpatient department for progressive limping and pain, mainly related to sports. An osteochondritis dissecans grade IV of the medial talus was identified by MRI. A microvascular transfer of osteochondral tissue was performed successfully. At follow-up 1 year after surgery, the MRI examination revealed vital cartilage; the patient was free of pain and had returned to his previous level of activity.

  • Orthopaedics
  • Sports and exercise medicine
  • Orthopaedic and trauma surgery

https://doi.org/10.1136/bcr-2021-248150

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    Footnotes

    • Contributors Supervised by GM. The patient was under the care of HB, MA, GM and GS. Report was written by GS.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.