Case 2. Repeat Arthroscopic Bone Barrow Stimulation for Talar Osteochondral Defects

Description

In this lecture, Maneesh Bhatia discusses the role of Repeat Arthroscopic Bone Marrow Stimulation Techniques, specifically focusing on Microfracture as a treatment for Talar Osteochondral Defects. He presents a structured argument around four key questions regarding the use of microfracture — its efficacy, conditions for potential success, and considerations if it fails. Bhatia establishes that microfracture serves as the gold standard technique for treating primary osteochondral lesions due to its high success rate. He references recent studies highlighting the effectiveness of repeat microfracture as a viable option for patients who haven’t responded to initial treatments. Bhatia also reviews evidence from various studies, addressing candidate selection criteria relevant to treatment outcomes, notably noting factors such as lesion size and characteristics that could predict treatment failure. Finally, he reassures that if microfracture does not yield the desired results, there remain alternative surgical interventions available, while advocating for the microfracture approach in suitable cases based on current evidence.

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