Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions.
Published
Journal Article
Osteochondral lesions of the talus, large or small, present a challenge to the treating orthopaedic surgeon. These cartilage and bony defects can cause substantial pain and functional disability. Surgical treatment of small lesions of the talus has been thoroughly explored and includes retrograde drilling, arthroscopic débridement and marrow stimulation, osteochondral autografting from cartilage/bone unit harvested from the ipsilateral knee (mosaicplasty), and autologous chondrocyte implantation. Although each of these reparative, replacement, or regenerative techniques has various degrees of success, they may be insufficient for the treatment of large osteochondral lesions of the talus. Large-volume osteochondral lesions of the talus (>1.5 cm in diameter or area >150 mm) often involve sizable portions of the weight-bearing section of the talar dome, medially or laterally. To properly treat these osteochondral lesions of the talus, a fresh structural osteochondral allograft is a viable treatment option.
Full Text
Duke Authors
Cited Authors
- Gross, CE; Adams, SB; Easley, ME; Nunley, JA
Published Date
- January 2016
Published In
Volume / Issue
- 24 / 1
Start / End Page
- e9 - e17
PubMed ID
- 26589459
Pubmed Central ID
- 26589459
Electronic International Standard Serial Number (EISSN)
- 1940-5480
Digital Object Identifier (DOI)
- 10.5435/JAAOS-D-15-00302
Language
- eng
Conference Location
- United States