Structural allograft reconstruction for large osteochondral lesions of the talus

Journal Article (Journal Article)

Most osteochondral lesions of the talus (OLTs) may be managed successfully with arthroscopic debridement in combination with either microfracture or drilling. However, treatment with debridement and microfracture/drilling tends to be less reliable in large OLTs, OLTs associated with loss of the talar shoulder architecture, and OLTs associated with large subchondral cysts. When the talar shoulder is compromised due to a large OLT, then a structural graft may be considered to reconstruct the deficient portion of the talar dome. In this situation, fresh and fresh-frozen allograft tali have been used. Although reports of structural allograft reconstruction for the talar dome are sparse, the limited literature on this subject suggests that successful outcome is feasible. This article focuses on our experience with structural allograft reconstruction for large OLTs. Copyright © 2011 by Lippincott Williams & Wilkins.

Full Text

Duke Authors

Cited Authors

  • Easley, ME; Adams, SB; Deorio, JK; Nunley, JA

Published Date

  • December 1, 2011

Published In

Volume / Issue

  • 10 / 4

Start / End Page

  • 148 - 158

Electronic International Standard Serial Number (EISSN)

  • 1538-1943

International Standard Serial Number (ISSN)

  • 1536-0644

Digital Object Identifier (DOI)

  • 10.1097/BTF.0b013e31823a14be

Citation Source

  • Scopus