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Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions.

Publication ,  Journal Article
Gross, CE; Adams, SB; Easley, ME; Nunley, JA
Published in: Instr Course Lect
2016

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.

Duke Scholars

Published In

Instr Course Lect

ISSN

0065-6895

Publication Date

2016

Volume

65

Start / End Page

301 / 309

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Transplantation, Autologous
  • Talus
  • Orthopedic Procedures
  • Humans
  • Diagnosis, Differential
  • Cartilage, Articular
  • Cartilage Diseases
  • Cartilage
  • Bone Transplantation
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Gross, C. E., Adams, S. B., Easley, M. E., & Nunley, J. A. (2016). Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions. Instr Course Lect, 65, 301–309.
Gross, Christopher E., Samuel B. Adams, Mark E. Easley, and James A. Nunley. “Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions.Instr Course Lect 65 (2016): 301–9.
Gross CE, Adams SB, Easley ME, Nunley JA. Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions. Instr Course Lect. 2016;65:301–9.
Gross, Christopher E., et al. “Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions.Instr Course Lect, vol. 65, 2016, pp. 301–09.
Gross CE, Adams SB, Easley ME, Nunley JA. Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions. Instr Course Lect. 2016;65:301–309.

Published In

Instr Course Lect

ISSN

0065-6895

Publication Date

2016

Volume

65

Start / End Page

301 / 309

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Transplantation, Autologous
  • Talus
  • Orthopedic Procedures
  • Humans
  • Diagnosis, Differential
  • Cartilage, Articular
  • Cartilage Diseases
  • Cartilage
  • Bone Transplantation