title: Osteochondral allograft of the talus.
abstract: Osteochondral lesions of the talus are being recognized as an increasingly common injury. They are most commonly located postero-medially or antero-laterally, while centrally located lesions are uncommon. Large osteochondral lesions have significant biomechanical consequences and often require resurfacing with osteochondral autograft transfer, mosaicplasty, autologous chondrocyte implantation (or similar methods) or osteochondral allograft transplantation. Allograft procedures have become popular due to inherent advantages over other resurfacing techniques. Cartilage viability is one of the most important factors for successful clinical outcomes after transplantation of osteochondral allografts and is related to storage length and intra-operative factors. While there is abundant literature about osteochondral allograft transplantation in the knee, there are few papers about this procedure in the talus. Failure of non-operative management, initial debridement, curettage or microfractures are an indication for resurfacing. Patients should have a functional ankle motion, closed growth plates, absence of cartilage lesions on the tibial side. This paper reviews the published literature about osteochondral allograft transplantation of the talus focusing on indications, pre-operative planning, surgical approaches, postoperative management, results and complications of this procedure.
authors.affiliation: Department of Orthopaedic Surgery University of Rome Tor Vergata Rome, Italy ; Department of Orthopaedics and Rehabilitation University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 0102x JPP, Iowa City, IA 52242-1088.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Bisicchia
authors.affiliation: AO Mauriziano Umberto I, Department of Orthopedics and Traumatology University of Turin Turin, Italy ; Department of Orthopaedics and Rehabilitation University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 0102x JPP, Iowa City, IA 52242-1088.
authors.forename: Federica
authors.initials: F
authors.lastname: Rosso
authors.affiliation: Department of Orthopaedics and Rehabilitation University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 0102x JPP, Iowa City, IA 52242-1088.
authors.forename: Annunziato
authors.initials: A
authors.lastname: Amendola
mesh_terms: D016025:Bone Transplantation / Q000379:methods*; D002356:Cartilage / Q000637:transplantation*; D006801:Humans; D013628:Talus / Q000601:surgery*; D014184:Transplantation, Homologous; D016896:Treatment Outcome