title: Stage VI: massive osteochondral defects of the talus.
abstract: This article addresses very large osteochondral lesions of the talus with an osteonecrosis overlap. Six cases are discussed where lesions were deemed too large for osteochondral autograft transfer (OATS) or autologous chondrocyte transplant (ACT). These cases were treated with bulk fresh or fresh frozen matched talus allograft transplantation. The associated literature is reviewed.
authors.affiliation: Orthopaedic Foot and Ankle Service, Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA. raikinfamily@comcast.net
authors.forename: Steven M
authors.initials: SM
authors.lastname: Raikin
mesh_terms: D000293:Adolescent; D000328:Adult; D002358:Cartilage, Articular / Q000473:pathology / Q000637:transplantation*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010008:Osteochondritis Dissecans / Q000473:pathology / Q000601:surgery*; D013628:Talus / Q000601:surgery*; D014184:Transplantation, Homologous; D016896:Treatment Outcome