Summary

Presentamos el estudio retrospectivo de 10 pacientes, de edades comprendidas entre 10 y 16 años, diagnosticados de osteocondritis disecante de astrágalo y tratados mediante perforaciones vía artroscópica. El tobillo afectado fue el dere­cho en 7 ocasiones y el izquierdo en 3. Existía un antecedente traumático en el 70% de los casos. Se rea!izaron perforaciones de la lesión median­te abordaje artroscópico: los resultados fueron excelentes, practicando actividad deportiva a los 9 meses del tratamiento. Las perforaciones ar­troscópicas son un procedimiento válido para el tratamiento primario de las osteocondritis dise­cantes de astrágalo.

Abstract

We reviewed 10 patients, ages from 10 to 16, who had been treated for an osteochondral defect of the talus by arhroscopic drilling. The indica­tion for surgical treatment was persistent symp­toms after leaving physical activity for at least six months. There were 5 boys and 5 girls. The lesion involved the right ankle in seven and the left in three. 70% of the cases were associated with a previous trauma. Arthroscopic drilling were per­formed and the mean follow-up was 4.9 years. The outcomes was excellent participation in sport was possible after nine months. Arthroscopic drilling is recommended for treatment of an osteochondral defect of the talus.