Osteochondral autologous transfer and bulk allograft for biological resurfacing of large osteochondral lesions of the talus

Osteochondral lesions of the talus that have previously undergone surgical management or involve the shoulder region of the talus require methods other than microfracture for treatment. For those lesions that have failed microfracture and do not involve the shoulder of the talus, osteochondral autologous transfer is our preferred treatment of choice. Perpendicular access to the lesion, often by osteotomy, is required for this technique. For those osteochondral lesions of the talus that involve the shoulder of the talus, structural allograft is indicated. This article describes our technique for osteochondral autologous transfer and structural allograft implantation.

Duke Scholars

Author Mark Erik Easley Orthopaedic Surgery