Surgical treatment of osteochondral lesions of the talus.
When conservative treatment is unsuccessful, there are many surgical options to treat patients with symptomatic chronic osteochondral lesions of the talus. The chosen treatment depends on the patient's symptoms, clinical examination findings, preoperative imaging results, and whether prior surgery was unsuccessful. It is important to be aware of treatment alternatives such as marrow stimulation, osteochondral autograft or allograft plugs, autologous chondrocyte implantation, and newer techniques currently being investigated outside the United States.
Ferkel
Richard D
RD
Southern California Orthopedics Institute, Van Nuys, California, USA.
Scranton
Pierce E
PE
Stone
James W
JW
Kern
Brian S
BS
D000843:Ankle Joint; D001182:Arthroscopy; D001845:Bone Cysts / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016025:Bone Transplantation; D002358:Cartilage, Articular; D019902:Chondrocytes / Q000637:transplantation; D006801:Humans; D007592:Joint Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010007:Osteochondritis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D018579:Patient Selection; D011859:Radiography; D013628:Talus; D016474:Weight-Bearing