Arthroscopic De Novo NT(®) juvenile allograft cartilage implantation in the talus: a case presentation

J Foot Ankle Surg. 2012 Mar-Apr;51(2):218-21. doi: 10.1053/j.jfas.2011.10.027. Epub 2011 Dec 3.

Abstract

Osteochondral defects of the talus are a challenging subject facing foot and ankle surgeons. The available treatment options have relatively good subjective outcomes; however, they are limited by the ability to reproduce hyaline cartilage, the need for multiple surgeries, and high morbidity. We present a new technique using DeNovo NT(®) juvenile allograft cartilage implantation introduced into a talar lesion arthroscopically in a single procedure to repair a posteriomedial talar osteochondral defects in a healthy, active 30-year-old female. The patient tolerated the procedure well. At the 6-month follow-up visit, the patient had returned to full activity, and at 24 months, she remained completely pain free.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arthroscopy*
  • Cartilage / injuries*
  • Cartilage / transplantation*
  • Female
  • Fibrin Tissue Adhesive
  • Fractures, Bone / diagnosis
  • Fractures, Bone / surgery
  • Humans
  • Joint Instability / etiology
  • Joint Instability / surgery
  • Joint Loose Bodies / etiology
  • Ligaments, Articular / injuries
  • Ligaments, Articular / surgery
  • Magnetic Resonance Imaging
  • Osteoarthritis / etiology
  • Talus / injuries*
  • Talus / surgery*
  • Tissue Adhesives
  • Transplantation, Homologous

Substances

  • Fibrin Tissue Adhesive
  • Tissue Adhesives