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Autologous osteochondral transplantation for osteochondral lesions of the talus

Publication ,  Journal Article
Ross, KA; Robbins, J; Easley, ME; Kennedy, JG
Published in: Operative Techniques in Orthopaedics
September 1, 2014

Autologous osteochondral transplantation is used in the management of osteochondral lesions of the talus that are not responsive or amenable to arthroscopic debridement or bone marrow stimulation. Therefore, the technique is indicated for large (>100-150mm2) or cystic lesions. Technical success of the procedure is predicated on the ability to achieve perpendicular access to the lesion. Several methods exist to achieve this, including alterations in foot positioning with medial or lateral arthrotomy, as well as malleolar or tibial osteotomy. Graft implantation should be flush with the native articular surface. Good outcomes have been demonstrated in the short to medium term, and the results do not appear to depreciate over time. These results can be expected in patients with focal disease in which the lesion is contained. Donor cartilage is obtained from the lateral femoral condyle, intercondylar notch, or trochlea of the knee. Donor site knee pain and postoperative cyst formation have been reported in some series, and these risks should be weighed against the indications and clinical outcomes in the literature.

Duke Scholars

Published In

Operative Techniques in Orthopaedics

DOI

EISSN

1558-3848

ISSN

1048-6666

Publication Date

September 1, 2014

Volume

24

Issue

3

Start / End Page

171 / 180

Related Subject Headings

  • Orthopedics
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ross, K. A., Robbins, J., Easley, M. E., & Kennedy, J. G. (2014). Autologous osteochondral transplantation for osteochondral lesions of the talus. Operative Techniques in Orthopaedics, 24(3), 171–180. https://doi.org/10.1053/j.oto.2014.02.012
Ross, K. A., J. Robbins, M. E. Easley, and J. G. Kennedy. “Autologous osteochondral transplantation for osteochondral lesions of the talus.” Operative Techniques in Orthopaedics 24, no. 3 (September 1, 2014): 171–80. https://doi.org/10.1053/j.oto.2014.02.012.
Ross KA, Robbins J, Easley ME, Kennedy JG. Autologous osteochondral transplantation for osteochondral lesions of the talus. Operative Techniques in Orthopaedics. 2014 Sep 1;24(3):171–80.
Ross, K. A., et al. “Autologous osteochondral transplantation for osteochondral lesions of the talus.” Operative Techniques in Orthopaedics, vol. 24, no. 3, Sept. 2014, pp. 171–80. Scopus, doi:10.1053/j.oto.2014.02.012.
Ross KA, Robbins J, Easley ME, Kennedy JG. Autologous osteochondral transplantation for osteochondral lesions of the talus. Operative Techniques in Orthopaedics. 2014 Sep 1;24(3):171–180.
Journal cover image

Published In

Operative Techniques in Orthopaedics

DOI

EISSN

1558-3848

ISSN

1048-6666

Publication Date

September 1, 2014

Volume

24

Issue

3

Start / End Page

171 / 180

Related Subject Headings

  • Orthopedics
  • 3202 Clinical sciences
  • 1103 Clinical Sciences