Arthroscopic Management of Osteochondral Lesions of the Talus

Sean T Grambart

doi:10.1016/j.cpm.2016.06.008

Arthroscopic Management of Osteochondral Lesions of the Talus

Clin Podiatr Med Surg. 2016 Oct;33(4):521-30. doi: 10.1016/j.cpm.2016.06.008.

Author

Sean T Grambart¹

Affiliation

¹ Carle Physician Group, Department of Orthopedics, 1802 South Mattis Avenue, Champaign, IL 61821, USA. Electronic address: Sean.Grambart@Carle.com.

PMID: 27599437
DOI: 10.1016/j.cpm.2016.06.008

Abstract

Osteochondral fractures of the ankle are typically caused by traumatic injuries of the ankle. Repetitive trauma can lead to further cartilage damage with subsequent increasing size of the lesion, ultimately leading to severe cartilage disorder and degenerative arthritis of the ankle. Arthroscopic bone marrow stimulation has been shown to be a highly successful option for patients with small osteochondral lesions. Studies show a higher failure rate for larger lesions and cystic changes that disrupt the subchondral plate. The threshold size seems to be 150 mm(2).

Keywords: Ankle impingement; Articular damage; Microfracture; Osteochondral lesions; Talar dome lesion.

Publication types

Review

MeSH terms

Ankle Joint*
Arthroscopy*
Humans
Osteochondritis / diagnosis
Osteochondritis / etiology
Osteochondritis / surgery*
Talus*