单位：[1]Centre for Osteonecrosis and Joint-Preserving & Reconstruction, Department of Orthopedic Surgery, BeijingKey Laboratory of Arthritic and Rheumatic Diseases, China-Japan Friendship Hospital, National Health andFamily Planning Commission of the People’s Republic of China, Beijing, 100029, China[2]Department of InternalMedicine, Peking University Civil Aviation General Hospital, Beijing, 100123, China
Multiple treatment strategies have been developed for osteochondral lesions (OCLs) of the talus. The purpose of this retrospective study was to assess retrograde autologous bone marrow cell (BMC) transplantation via core drilling (CD) combined with focused extracorporeal shock wave treatment (ESWT) in undisplaced OCL of the talus. A total of 69 patients with unilateral osteochondral lesions of the talus (Hepple grade I-III) were divided into two groups: 41 patients received combined therapy of ESWT and BMC transplantation (group A), while 28 were administered BMC transplantation alone (group B). The patients were followed up clinically and radiographically for a minimum of 2 years. Mean follow-up was 4.1 +/- 2.8 years. AOFAS scores increased more significantly while pain intensity levels decreased in group A after treatment, compared with group B values (P < 0.001). In MRI follow-up, a more remarkable improvement of OCLs of the talus was observed in group A compared with group B (P = 0.040). Therefore, the combined technique reported here is a highly effective therapeutic option in OCLs of the talus with intact cartilage. It promotes patient recovery with pain control, and improves clinical outcome for more than 2 years after surgery.
基金：
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81372013, 81672236]; Beijing Natural Science FoundationBeijing Natural Science Foundation [7174346]; Research Fund of China-Japan Friendship Hospital [2014-4-QN-29]; China-Japan Friendship Hospital Youth Science and technology excellence project [2014-QNYC-A-06]
第一作者单位：[1]Centre for Osteonecrosis and Joint-Preserving & Reconstruction, Department of Orthopedic Surgery, BeijingKey Laboratory of Arthritic and Rheumatic Diseases, China-Japan Friendship Hospital, National Health andFamily Planning Commission of the People’s Republic of China, Beijing, 100029, China
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推荐引用方式(GB/T 7714)：
Gao Fuqiang,Chen Na,Sun Wei,et al.Combined Therapy with Shock Wave and Retrograde Bone Marrow-Derived Cell Transplantation for Osteochondral Lesions of the Talus[J].SCIENTIFIC REPORTS.2017,7:doi:10.1038/s41598-017-02378-9.
APA：
Gao, Fuqiang,Chen, Na,Sun, Wei,Wang, Bailiang,Shi, Zhencai...&Guo, Wanshou.(2017).Combined Therapy with Shock Wave and Retrograde Bone Marrow-Derived Cell Transplantation for Osteochondral Lesions of the Talus.SCIENTIFIC REPORTS,7,
MLA：
Gao, Fuqiang,et al."Combined Therapy with Shock Wave and Retrograde Bone Marrow-Derived Cell Transplantation for Osteochondral Lesions of the Talus".SCIENTIFIC REPORTS 7.(2017)
