Intraosseous platelet rich plasma injection in treatment of a subtalar osteochondral lesion: A case report

Antoni Orgiu, MD; Camille Choufani, MD; Lorraine Litrico, MD; Lucas Chateaux, MD; Alexandre Sabate-Ferris, MD; Olivier Barbier, MD, PhD

Foot & Ankle Surgery: Techniques, Reports & Cases (Jan 2022)

Intraosseous platelet rich plasma injection in treatment of a subtalar osteochondral lesion: A case report

Antoni Orgiu, MD,
Camille Choufani, MD,
Lorraine Litrico, MD,
Lucas Chateaux, MD,
Alexandre Sabate-Ferris, MD,
Olivier Barbier, MD, PhD

Affiliations

Antoni Orgiu, MD: Orthopedic Surgery Department, Military Teaching Hospital Bégin, 69 avenue de Paris, Saint-Mandé 94160, France.; Corresponding author at: Orthopedic Surgery Department, Military Teaching Hospital Bégin, 69 avenue de Paris, Saint-Mandé 94160, France.
Camille Choufani, MD: Orthopedic Surgery Department, Military Teaching Hospital Bégin, 69 avenue de Paris, Saint-Mandé 94160, France.; Toulon Mediterranean Orthopedic and Sport Trauma, 303 littoral Frederic Mistral, 83000 Toulon, France
Lorraine Litrico, MD: Orthopedic Surgery Department, Military Teaching Hospital Bégin, 69 avenue de Paris, Saint-Mandé 94160, France.
Lucas Chateaux, MD: Orthopedic Surgery Department, Military Teaching Hospital Bégin, 69 avenue de Paris, Saint-Mandé 94160, France.
Alexandre Sabate-Ferris, MD: Orthopedic Surgery Department, Military Teaching Hospital Bégin, 69 avenue de Paris, Saint-Mandé 94160, France.
Olivier Barbier, MD, PhD: Orthopedic Surgery Department, Military Teaching Hospital Bégin, 69 avenue de Paris, Saint-Mandé 94160, France.; Toulon Mediterranean Orthopedic and Sport Trauma, 303 littoral Frederic Mistral, 83000 Toulon, France

Journal volume & issue: Vol. 2, no. 1
p. 100116

Abstract

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Subtalar osteochondral lesions of the talus are uncommon but disabling conditions that require most of the time subtalar arthrodesis. Recent studies have shown promising results with the use of intraosseous injection of stem cell and platelet rich plasma (PRP) in osteonecrosis of the femoral head or talus in combination with bone decompression. We report a 26-year-old patient with a post-traumatic subtalar osteochondral lesion of the talus treated by bone decompression and intraosseous injection of PRP. At 12 months, the patient presented an almost complete resolution of his pain and a regression of the marrow edema around the lesions on the MRI. Intraosseous injection of PRP seems to be a promising treatment in the management of subtalar osteochondral lesion.Level of Clinical Evidence: 4Level of Evidence: level V, expert opinion.

Published in Foot & Ankle Surgery: Techniques, Reports & Cases

ISSN: 2667-3967 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: https://www.journals.elsevier.com/foot-and-ankle-surgery-techniques-reports-and-cases

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