title: A case report of a simultaneous local osteochondral autografting and ankle arthrodiastasis for the treatment of a talar dome defect.
abstract: Talar osteochondral defects (OCDs) are a challenge for treating physicians because they frequently are missed or diagnosed incorrectly, often resulting in severe degenerative arthritis of the ankle joint. Surgical intervention becomes a viable option in the presence of larger OCDs associated with loose bodies or osteochondral lesions that have failed conservative treatment. The successful use of autologous osteochondral autograft in the knee has promoted the applicability in the ankle. This report describes a unique technique for the treatment of large talar osteochondral lesions using a local osteochondral autograft combined with an ankle arthrodiastasis.
authors.affiliation: Division of Podiatric Medicine and Surgery, Department of Orthopaedics, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive/MCS 7776, San Antonio, TX 78229, USA.
authors.forename: Ronald
authors.initials: R
authors.lastname: Belczyk
authors.forename: John J
authors.initials: JJ
authors.lastname: Stapleton
authors.forename: Thomas
authors.initials: T
authors.lastname: Zgonis
authors.forename: Vasilios D
authors.initials: VD
authors.lastname: Polyzois
mesh_terms: D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002358:Cartilage, Articular / Q000637:transplantation*; D003131:Combined Modality Therapy; D016267:External Fixators; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D010007:Osteochondritis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000295:instrumentation / Q000379:methods*; D010147:Pain Measurement; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D013628:Talus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D020858:Tissue and Organ Harvesting; D014182:Transplantation, Autologous; D016474:Weight-Bearing