Management of Treatment Failures in Osteochondral Lesions of the Talus

Kenneth J Hunt; Benjamin J Ebben

doi:10.1016/j.fcl.2021.12.002

Management of Treatment Failures in Osteochondral Lesions of the Talus

Foot Ankle Clin. 2022 Jun;27(2):385-399. doi: 10.1016/j.fcl.2021.12.002. Epub 2022 May 11.

Authors

Kenneth J Hunt¹, Benjamin J Ebben²

Affiliations

¹ Department of Orthopaedic Surgery, University of Colorado School of Medicine, 12631 East 17th Ave, Room 4508, Aurora, CO 80045, USA. Electronic address: kenneth.j.hunt@ucdenver.edu.
² Department of Orthopaedic Surgery, University of Colorado School of Medicine, 12631 East 17th Ave, Room 4508, Aurora, CO 80045, USA.

PMID: 35680295
DOI: 10.1016/j.fcl.2021.12.002

Abstract

Osteochondral lesions of the talus are a common result of traumatic ankle injury. Due to the low success rates of nonoperative management, surgical management of osteochondral lesions of the talus (OLTs) has evolved considerably over the past decade as more outcomes research has emerged, new techniques have been described, and we have developed a better understanding of the role of biologics in the treatment algorithm. We describe, in sequence, the surgical management options, including salvage procedures, for failed treatment of OLTs.

Keywords: Failed treatment; Osteochondral graft; Osteochondral lesion; Talus.

Publication types

Review

MeSH terms

Ankle Injuries*
Ankle Joint / surgery
Cartilage, Articular* / pathology
Cartilage, Articular* / surgery
Humans
Intra-Articular Fractures*
Talus* / pathology
Talus* / surgery
Treatment Failure
Treatment Outcome