Current Concepts Review Update: Osteochondral Lesions of the Talus

Matthew J. Kraeutler, Jorge Chahla, Chase S. Dean, Justin J. Mitchell, Maria Gala Santini-Araujo, Stephen J. Pinney, Cecilia Pascual-Garrido

Research output: Contribution to journalReview article

21 Scopus citations

Abstract

Nonoperative treatment is initially indicated for patients with early-stage osteochondral lesions of the talus without loose intraarticular fragments, nondisplaced lesions, asymptomatic or minimally symptomatic patients, and those that are improving with physical therapy. Many of these lesions may heal without operative intervention. For patients with higher-grade lesions or those who do not respond to nonoperative management, operative treatment is indicated. For osteochondral lesions of the talus <1.5 cm2, microfracture surgery is typically sufficient to provide satisfactory results (Grade B recommendation).17 Salvage procedures may be performed for patients who do not respond to microfracture or OAT. These may include repeat microfracture,75 OAT (Grade B recommendation), osteochondral allograft transplantation (Grade C recommendation), or newer, less invasive procedures such as ACI or MAST.

Original languageEnglish
Pages (from-to)331-342
Number of pages12
JournalFoot and Ankle International
Volume38
Issue number3
DOIs
StatePublished - Mar 1 2017

Keywords

  • ankle
  • autologous chondrocyte implantation
  • bone marrow aspirate concentrate
  • microfracture
  • osteochondral lesions
  • talus

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    Kraeutler, M. J., Chahla, J., Dean, C. S., Mitchell, J. J., Santini-Araujo, M. G., Pinney, S. J., & Pascual-Garrido, C. (2017). Current Concepts Review Update: Osteochondral Lesions of the Talus. Foot and Ankle International, 38(3), 331-342. https://doi.org/10.1177/1071100716677746