Treatment of symptomatic large cystic lesions of the talus has had mixed results. A technique of treatment using a cored osteochondral graft taken from the ipsilateral knee is presented. Preliminary results in ten consecutive patients show significant improvement in all patients with an average increase of 27 points in the AOFAS Hindfoot score.
Get full access to this article
View all access options for this article.
References
1.
. AngermannP.JensenP.: Osteochondritis dissecans of the talus: long-term results of surgical treatment. Foot Ankle, 10(3): 161–163, 1989.
2.
. BakerC.L.AndrewsJ.R.RyanJ.B.: Arthroscopic treatment of transchondral talar dome fractures. Arthroscopy, 2(2): 82–87, 1986.
3.
. BerndtA.L.HartyM.: Transchondral fractures of the Talus. J Bone Joint Surg41A: 988–1020, 1959.
4.
. CugatR.GarciaM.CuscoX.MonllauJ.C.VilaroJ.JuanX.Ruiz CotorroA.: Osteochondritis dissecans: a historical review and its treatment with cannulated screws. Arthroscopy, 9(6): 675–684, 1993.
5.
. FerkelR.D.StoneJ.W.GuhlJ.F.: Articular Surface Defects, Loose Bodies, and Osteophytes. In: FerkelR.D. (ed). Arthroscopic Surgery: The Foot and Ankle. Philadelphia. Lippincott-Raven, 1996, pp. 145–184.
6.
. FlickA.B.GouldN.: Osteochondritis Dissecans of the Talus (Transchondral Fractures of the Talus): Review of the Literature and New Surgical Approach for Medial Dome Lesions. Foot Ankle, 5(4): 165–185, 1985.
7.
. HangodyL.KarpaticZ.KishG.: Mosaicplasty for the treatment of the osteochondral Dissecans of the Talus: Two to Six Year Results in 31 patients. Orthopedics1998 Jul; 21(7): 751–6.
8.
. HangodyL.KishG.KarpatiZ.SzerbI.EberhardtR.: Treatment of osteochondritis dissecans of the talus: use of the mosaicplasty technique—a preliminary report. Foot Ankle Int, 18(10): 628–634, 1997.
9.
. HeppleS.WinsonI.G.GlewD.: Osteochondral lesions of the talus: a revised classification. Foot Ankle Int, 20(12): 789–93, 1999.
10.
. KristensenG.LindT.LavardP.OlsenP.A.: Fracture stage 4 of the lateral talar dome treated arthroscopically using Biofix for fixation. Arthroscopy, 6(3): 242–244, 1990.
11.
. KumaiT.TakakuraY.HigashiyamaI.TamaiS.: Arthroscopic Drilling for the Treatment of Osteochondral Lesions of the Talus. J Bone Joint Surg81A: 1229–1235, 1999.
12.
. MartinT.L.WilsonM.O.RobledoJ.TheodoreG.: Early Results of Autologous Bone Grafting for Large Talar Osteochondritis Dissecans Lesions. 29th Annual Meeting AOFAS (2/7/99), Anaheim CA.
13.
. Ogilvie HarrisD.J.SarrosaE.A.: Arthroscopic treatment of osteochondritis dissecans of the talus. Arthroscopy, 15(8): 805–808, 1999.
14.
. PagetJ.: On the production of some of the loose bodies in joints. St Bartholomew Hosp. Rep. 1870;6: 11878.