Osteochondritis dissecans of the talus treated with the mosaicplasty technique: a case report.
The authors present the use of osteochondral autografting with mosaicplasty technique performed on a 20-year-old man for a large osteochondral talar dome lesion. The patient had sustained a right ankle sprain many times while playing rugby football. The lesion measured 15 mm in diameter and encompassed more than one-third of the articular surface. After exposing the talus to a medial malleolar osteotomy, 3 osteochondral grafts taken from the medial femoral condyle of the ipsilateral knee were press-fit into the lesion. One year postoperatively, the patient has returned to playing rugby football. Radiographically, there was incorporation of the grafts. The authors believe that the mosaicplasty technique presents a promising new option in the treatment of osteochondritis dissecans of the talus.
Kodama
Narihito
N
The Orthopedic Clinic, Tane General Hospital, 1-2-31 Sakaigawa Nishiku, Osaka 550-0024, Japan. ortho@tane.or.jp
Honjo
Masasi
M
Maki
Junichi
J
Hukuda
Sinsuke
S
D000328:Adult; D000843:Ankle Joint / Q000601:surgery; D002358:Cartilage, Articular / Q000637:transplantation*; D005269:Femur / Q000637:transplantation; D006801:Humans; D007719:Knee Joint / Q000601:surgery; D008297:Male; D010008:Osteochondritis Dissecans / Q000601:surgery*; D013628:Talus / Q000601:surgery*