Operative treatment of osteochondral lesions of the talar dome: Current concepts review

Sandro Giannini, Francesca Vannini

Research output: Contribution to journalArticle

Abstract

Osteochondral lesions of the talar dome are common problems encountered in orthopaedics. Procedures for the treatment of osteochondral lesions of the talus, including debridement of the joint, shaving of fibrillated cartilage, and resection or perforation of subchondral bone in the last decade, have been performed arthroscopically with very low morbidity. These seem to be inadequate in lesions larger than 1.5 cm2 and have not been histologically effective in restoring the hyaline cartilage sheath. Osteochondral allografts or autogenous grafts and autologous chondrocyte transplantation have proven to be capable of restoring the articular hyaline cartilage surface, including defects larger than 2 cm2, although with higher costs and morbidity. In this review, the aforementioned methods of operative treatment are examined and issues that are related to these methods are discussed.

Original languageEnglish
Pages (from-to)168-175
Number of pages8
JournalFoot and Ankle International
Volume25
Issue number3
Publication statusPublished - Mar 2004

Keywords

  • Ankle joint
  • Hyaline cartilage
  • Operative techniques
  • Osteochondral lesion
  • Talus

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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