A Stepwise Approach For Osteochondral Lesions Of The Talus

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Author(s): 
Babak Baravarian, DPM, and Lindsay Mae Chandler, DPM

   Dr. Baravarian is an Assistant Clinical Professor at the UCLA School of Medicine. He is the Chief of Podiatric Foot and Ankle Surgery at the Santa Monica UCLA Medical Center and Orthopedic Hospital, and is the Director of the University Foot and Ankle Institute in Los Angeles.

   Dr. Chandler is a fellow at the University Foot and Ankle Institute in Los Angeles.

References
1.  Kruse D, Ng A, Paden M, Stone P. Arthroscopic De Novo NT juvenile allograft cartilage implantation in the talus: A case presentation. J Foot Ankle Surg. 2012; 51(2):218-221.
2.  Coltart WD. Aviator’s astragalus. J Bone Joint Surg Br. 1952; 34-B(4):545-566.
3. Bosien WR, Staples OS, Russell SW. Residual disability following acute ankle sprains. J Bone Joint Surg Am. 1955; 37-A(6):1237-1243.
4.  Ferkel RD, Sgaglione NA, DelPizzo W, et al. Arthroscopic treatment of osteochondral lesions of the talus: Long-term results. Orthop Trans. 1990; 14:172-173.
5.   Schacter AK, Chen AL, Reddy PD, Tejwani NC. Osteochondral lesions of the talus. J Am Acad Orthop Surg. 2005; 13(3):152-158.
6.  Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 1959; 41-A:988-1020.
7. O’Driscoll S. The healing and regeneration of articular cartilage: current concepts review. J Bone Joint Surg. 1998; 80-A(12): 1795-1812.
8.   Buckwalter JA, Cruess RL. Healing of the musculoskeletal tissues. In Rockwood CA Jr, Green DP, Bucholz RW (eds). Fractures in Adults. Lippincott, Philadelphia, 1991, p. 181.
9.  Chuckpaiwong B, Berkson EM, Theodore GH. Microfracture for osteochondral lesions of the ankle: outcome analysis and outcome predictors of 105 cases. Arthroscopy. 2008; 24(1):106-112.
10. Namba RS, Meuli M, Sullivan KM, Le AX, Adzick NS. Spontaneous repair of superficial defects in articular cartilage in a fetal lamb model. J Bone Joint Surg Am. 1998; 80(1):4-10.
11. Giannini S, Francesca V. Operative treatment of osteochondral lesions of the talar dome: current concepts review. Foot Ankle Int. 2004; 25(3):168-175.

   For further reading, see “Emerging Concepts In Treating Osteochondral Lesions Of The Talus” in the May 2012 issue of Podiatry Today.

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