title: Editorial Commentary: Bulk Osteochondral Talar Grafts Compromise Future Arthrodesis or Prosthesis.
abstract: In general, osteochondral allograft should include minimal "osteo" or bone. In cases that require a bulk allograft, even after creeping substitution and healing, most of the graft remains dead bone. Bulk dead bone is a particular problem in the talus, should a patient need revision to a prosthesis or arthrodesis. As an alternative, drilling, bone grafting, and fixation of existing cartilage, when possible, is preferred.
authors.affiliation: Amsterdam, The Netherlands.
authors.forename: C Niek
authors.initials: CN
authors.lastname: van Dijk
mesh_terms: D001174:Arthrodesis; D016025:Bone Transplantation; D002357:Cartilage Diseases / Q000601:surgery; D006801:Humans; D019736:Prostheses and Implants; D013628:Talus / Q000601:surgery*