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Rehabilitation After Bone Marrow Stimulation

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Talar Osteochondral Defects

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Abstract

The primary treatment of osteochondral defects up to 15 mm in the talus consists of arthroscopic debridement (excision and curettage) and bone marrow stimulation (BMS) [ 54 ]. The aim of bone marrow stimulation is to create multiple connections with the subchondral bone. This can be accomplished by drilling or by microfracturing. The main goal after treatment is to return to daily activities and to the activity level before injury. As yet, there is no consensus regarding rehabilitation. Reduced loading and controlled joint motion can stimulate cartilage repair. Animal studies that compared postoperative continuous passive motion (CPM) and cast immobilisation showed faster healing with CPM, as well as thicker and stiffer cartilage with a greater concentration of proteoglycans [ 18 , 37 , 41 ].

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Conflict of Interest

The author has no current conflict of interests with the products presented

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Authors and Affiliations

  1. Orthopaedic Research Centre Amsterdam, Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

    Inge C. M. van Eekeren MD, PhD & Christiaan J. A. van Bergen MD, PhD

  2. Department of Trauma and Orthopaedics, Hippocrateon Private Hospital, Nicosia, Cyprus

    Kyriacos I. Eleftheriou MB BS, MD, FRCS (Tr & Orth)

  3. Department of Trauma and Orthopaedics, Chelsea and Westminster Hospital, The Fortius Clinic, London, UK

    James D. F. Calder MD, FRCS (Tr & Orth), FFSEM

Authors
  1. Inge C. M. van Eekeren MD, PhD
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  2. Kyriacos I. Eleftheriou MB BS, MD, FRCS (Tr & Orth)
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  3. Christiaan J. A. van Bergen MD, PhD
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  4. James D. F. Calder MD, FRCS (Tr & Orth), FFSEM
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Correspondence to Inge C. M. van Eekeren MD, PhD .

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Editors and Affiliations

  1. Orthopaedic Surgery, University of Amsterdam Academic Medical Centre, Amsterdam, The Netherlands

    C. Niek van Dijk

  2. Orthopaedic Surgery and Traumatology, Hospital for Special Surgery, New York, New York, USA

    John G. Kennedy

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van Eekeren, I.C.M., Eleftheriou, K.I., van Bergen, C.J.A., Calder, J.D.F. (2014). Rehabilitation After Bone Marrow Stimulation. In: van Dijk, C., Kennedy, J. (eds) Talar Osteochondral Defects. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45097-6_14

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  • DOI: https://doi.org/10.1007/978-3-642-45097-6_14

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