Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions.


Journal Article

Osteochondral lesions of the talus, large or small, are challenging for the treating orthopaedic surgeon. These cartilage and bony defects can cause substantial pain and functional disability. Surgical treatment of small osteochondral 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 varying 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 >150 mm(2) in area) often involve a sizable portion of the weight-bearing section of the talar dome, medially or laterally. A fresh structural osteochondral allograft is a viable treatment option for large osteochondral lesions of the talus.

Full Text

Duke Authors

Cited Authors

  • Gross, CE; Adams, SB; Easley, ME; Nunley, JA

Published Date

  • 2016

Published In

Volume / Issue

  • 65 /

Start / End Page

  • 301 - 309

PubMed ID

  • 27049198

Pubmed Central ID

  • 27049198

International Standard Serial Number (ISSN)

  • 0065-6895


  • eng

Conference Location

  • United States