Osteochondral Defects of the Talus: How to Treat Without an Osteotomy.

Surgical management of osteochondral lesions of the talus without an osteotomy depends on the size, location, and chronicity of the lesion. Bone marrow stimulation techniques, such as microfracture, can be performed arthroscopically and have consistently good outcomes in lesions less than 1 cm in diameter. For lesions not amenable to bone marrow stimulation, one-stage techniques, such as allograft cartilage extracellular matrix and allograft juvenile hyaline cartilage, may be used. Arthroscopy may be used in many cases to address these lesions; however, an arthrotomy may be required to use osteochondral autograft and allograft transplantation techniques.
Competing Interests: Disclosure M. S. Conti: This author has nothing to disclose. J.K. Ellington: Amniox: paid consultant; Arthrex: IP royalties; Kinos: stock or stock options; Medline: IP royalties, paid consultant, paid presenter or speaker; Medshape: stock or stock options; Nuvasive: paid consultant; Synthes: IP royalties, paid consultant, paid presenter or speaker; Wright Medical Technology: paid consultant. S.B. Behrens: This author has nothing to disclose.
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