title: Osteochondritis dissecans of the talus treated with the mosaicplasty technique: a case report.
abstract: 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.
authors.affiliation: The Orthopedic Clinic, Tane General Hospital, 1-2-31 Sakaigawa Nishiku, Osaka 550-0024, Japan. ortho@tane.or.jp
authors.forename: Narihito
authors.initials: N
authors.lastname: Kodama
authors.forename: Masasi
authors.initials: M
authors.lastname: Honjo
authors.forename: Junichi
authors.initials: J
authors.lastname: Maki
authors.forename: Sinsuke
authors.initials: S
authors.lastname: Hukuda
mesh_terms: 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*