ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Lift, drill, fill and fix (LDFF): a new arthroscopic treatment for talar osteochondral defects.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Pooled it
- Treatment of Osteochondral Lesions of the Talus in the Skeletally Immature Population: A Systematic Review.Journal of pediatric orthopedics · 2022Pooled it
- No superior treatment for primary osteochondral defects of the talus.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Pooled it
- Osteochondral lesions of the talus in the pediatric population: A practical narrative review.Journal of children's orthopaedics · 2026Article
- Return to Sport and Performance After Treatment of Osteochondral Lesions of the Ankle in Elite Athletes: A Retrospective Study.Orthopaedic journal of sports medicine · 2026Article
- Open Lift, Drill, Fill, and Fix (LDFF) for Chronic Osteochondral Lesions of the Talus: Favorable 2-Year Clinical Outcomes.Orthopaedic journal of sports medicine · 2025Article
- Open lift-drill-fill-fix for medial osteochondral lesions of the talus: surgical technique.Operative Orthopadie und Traumatologie · 2024Review
- Operative management of osteochondral lesions of the talus: 2024 recommendations of the working group 'clinical tissue regeneration' of the German Society of Orthopedics and Traumatology (DGOU).EFORT open reviews · 2024Review
- Higher preoperative range of motion is predictive of good mid-term results in the surgical management of osteochondral lesions of the talus: a prospective multicentric study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Observational
- Sustained clinical success at 7-year follow-up after arthroscopic Lift-Drill-Fill-Fix (LDFF) of primary osteochondral lesions of the talus.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Talar OsteoPeriostic grafting from the Iliac Crest (TOPIC) for lateral osteochondral lesions of the talus: operative technique.Operative Orthopadie und Traumatologie · 2023Article
- Second-look arthroscopic and magnetic resonance analysis after internal fixation of osteochondral lesions of the talus.Scientific reports · 2022Article
- The Ankle Spacer-a hemiarthroplasty for treatment of severe osteochondral defects of the talus.Operative Orthopadie und Traumatologie · 2022Article
- Talar OsteoPeriostic grafting from the Iliac Crest (TOPIC) for large medial talar osteochondral defects : Operative technique.Operative Orthopadie und Traumatologie · 2021Article
- [Osteochondral lesions of the talus : Individualized approach based on established and innovative reconstruction techniques].Der Unfallchirurg · 2021Article
- Fixation of the osteochondral talar fragment yields good results regardless of lesion size or chronicity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Arthroscopic lift, drill, fill and fix (LDFF) is an effective treatment option for primary talar osteochondral defects.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Return to Sports After Surgical Treatment of Osteochondral Defects of the Talus: A Systematic Review of 2347 Cases.Orthopaedic journal of sports medicine · 2019Review
- Osteochondral lesions of the talus.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- The subchondral bone healing after fixation of an osteochondral talar defect is superior in comparison with microfracture.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to describe the short-term clinical outcome of a new arthroscopic fixation technique for primary osteochondral talar defects: lift, drill, fill and fix (LDFF).
methodsSeven patients underwent an arthroscopic LDFF surgery for osteochondral talar defects, the mean follow-up was 12 months (SD 0.6). Pre- and postoperative clinical assessment included the American Orthopaedic Foot and Ankle Society Score (AOFAS) and the numeric rating scales (NRS) of pain at rest and during walking. Remodelling and bone ingrowth after LDFF were analysed on weight-bearing radiographs during follow-up.
resultsIn all patients, LDFF led to an improvement of the AOFAS and NRS of pain. The AOFAS significantly improved from 63 to 99 (p < 0.001). The NRS of pain at rest significantly improved from 2.9 to 0.1 (p = 0.004), and pain with walking significantly improved from 7.6 to 0.1 (p < 0.001). On the final radiographs, five of seven patients showed remodelling and bone ingrowth after LDFF.
conclusionsThe LDFF of an osteochondral talar defect appears to be a promising arthroscopic treatment option for primary talar osteochondral defects. Although the clinical and radiological results of 1-year follow-up are encouraging, more patients and longer follow-up are needed to draw any firm conclusions and determine whether the results stand the test of time. LEVEL OF EVIDENCE: Prospective case series. Therapeutic, Level IV.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.