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Looze CA, Capo J, Ryan MK, et al. Evaluation and Management of Osteochondral Lesions of the Talus. Cartilage. 2016;8(1):19-30doi: 10.1177/1947603516670708.
Looze, C. A., Capo, J., Ryan, M. K., Begly, J. P., Chapman, C., Swanson, D., Singh, B. C., & Strauss, E. J. (2017). Evaluation and Management of Osteochondral Lesions of the Talus. Cartilage, 8(1), 19-30. https://doi.org/10.1177/1947603516670708
Looze, Christopher A, et al. "Evaluation and Management of Osteochondral Lesions of the Talus." Cartilage vol. 8,1 (2017): 19-30. doi: https://doi.org/10.1177/1947603516670708
Looze CA, Capo J, Ryan MK, Begly JP, Chapman C, Swanson D, Singh BC, Strauss EJ. Evaluation and Management of Osteochondral Lesions of the Talus. Cartilage. 2017 Jan;8(1):19-30. doi: 10.1177/1947603516670708. Epub 2016 Sep 28. PMID: 27994717; PMCID: PMC5154424.
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Cartilage. 2017 Jan;8(1):19-30. doi: 10.1177/1947603516670708. Epub 2016 Sep 28.

Evaluation and Management of Osteochondral Lesions of the Talus.

Cartilage

Christopher A Looze, Jason Capo, Michael K Ryan, John P Begly, Cary Chapman, David Swanson, Brian C Singh, Eric J Strauss

Affiliations

  1. Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.

PMID: 27994717 PMCID: PMC5154424 DOI: 10.1177/1947603516670708

Abstract

Osteochondral lesions of the talus are common injuries that affect a wide variety of active patients. The majority of these lesions are associated with ankle sprains and fractures though several nontraumatic etiologies have also been recognized. Patients normally present with a history of prior ankle injury and/or instability. In addition to standard ankle radiographs, magnetic resonance imaging and computed tomography are used to characterize the extent of the lesion and involvement of the subchondral bone. Symptomatic nondisplaced lesions can often be treated conservatively within the pediatric population though this treatment is less successful in adults. Bone marrow stimulation techniques such as microfracture have yielded favorable results for the treatment of small (<15 mm) lesions. Osteochondral autograft can be harvested most commonly from the ipsilateral knee and carries the benefit of repairing defects with native hyaline cartilage. Osteochondral allograft transplant is reserved for large cystic lesions that lack subchondral bone integrity. Cell-based repair techniques such as autologous chondrocyte implantation and matrix-associated chondrocyte implantation have been increasingly used in an attempt to repair the lesion with hyaline cartilage though these techniques require adequate subchondral bone. Biological agents such as platelet-rich plasma and bone marrow aspirate have been more recently studied as an adjunct to operative treatment but their use remains theoretical. The present article reviews the current concepts in the evaluation and management of osteochondral lesions of the talus, with a focus on the available surgical treatment options.

Keywords: ankle; autologous chondrocyte; cartilage repair; grafts; joint involved; microfracture; procedures; repair; talus

Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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