Keywords Ankle Osteochondral lesion Defect Talus Systematic review Arthroscopy Introduction Symptomatic osteochondral ankle defects often require surgical treatment. Purpose: The purpose of this study was to compare outcomes of chondroplasty versus microfracture versus osteochondral autologous transplantation (OAT) in patients with osteochondral lesions of the talus (OLT).Methods: After prospective sample size analysis, patients with symptomatic, recalcitrant Ferkel class 2b, 3, and 4 OLT were randomized to chondroplasty, microfracture, or OAT treatment … Symptoms related to this condition are nonspecific including pain, swelling, stiffness, and mechanical symptoms of locking and catching. Osteochondral Lesions of the Talus Treatment With Fresh Frozen Allograft. Osteochondral defect of the anterolateral talar dome after treatment with two osteochondral autografts (arrows), measuring 6.5 and 4.5 mm in diameter, harvested from the knee. The most common sites are the posteromedial (53%) ( Fig. A variety of terms have been used to refer to this clinical entity, including osteochondritis dissecans (OCD), osteochondral fracture and osteochondral defect. Fig. Management of Cystic Osteochondral Lesions of the Talus. 1 We can describe lesions as a cartilage defect, bone cyst or subchondral bone cyst. incidence 69% of ankle fractures; 70% of ankle sprains; 10% are bilateral focal injuries to the talar dome with variable involvement of the subchondral bone and cartilage resulting in osteochondral lesion of the talus (OLT) may be caused by traumatic event or result of repetitive microtrauma; Epidemiology . The broad term “osteochondral lesion of the talus” describes an injury or abnormality of the talar articular cartilage and adjacent bone. FIGURE 71-1 Osteochondral lesion of the talus. 1 ) and anterolateral (46%) talar dome ( 1 ). Osteochondral lesion of the talus (OLT) is a common condition associated with ankle injury that brings challenges in the diagnosis and treatment. The critical size of lesion that dictates whether replacement or repair is the best long-term treatment is yet to be determined. for OCD of the talus. Series shows the case of a 25-years-old man, a sports and physically active patient, with chronic ankle pain, a lateral talus osteochondral lesion (OCL), and chronic ankle instability. Lesions greater than 8 mm that are more cystic and cases where … 6.1. (3)Italiano Hospital, Buenos Aires, Argentina. Radiographs showed a suspicious area on the lateral talar dome. Topical Review Osteochondral Lesions of the Talus: Current Concepts in Diagnosis and Treatment John R. Steele, MD1, Travis J. Dekker, MD1, Andrew E. Federer, MD1, Jordan L. Liles, MD1, Samuel B. Adams, MD1, and Mark E. Easley, MD1 Abstract Osteochondral lesions of the talus (OLTs) are a difficult pathologic entity to treat. Most classification systems are based on lesion descriptions by Berndt and Harty ( 2 ): Clinicians have used variety of terms to describe these injuries, including osteochondritis dissecans, osteochondral defect or osteochondral fracture. The talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. Yañez Arauz JM(1), Del Vecchio JJ(2), Bilbao F(3), Raimondi N(4). Osteochondral lesion of the talus (OLT) is a broad term used to describe an injury or abnormality of the talar articular cartilage and adjacent bone. (2)Fundación Favaloro University Hospital, Buenos Aires, Argentina. Upon completion of the recipient site preparation, osteochondral grafts are harvested from the … https://www.footankleinstitute.com/reating-osteochondral-lesions-of-the-talus Author information: (1)Austral Universitiy Hospital, Buenos Aires, Argentina. “ osteochondral lesion defect talus Systematic review Arthroscopy Introduction Symptomatic osteochondral ankle defects often require surgical treatment fractures 70! Knee and elbow ) of osteochondral lesions ( 3 ) Italiano Hospital, Buenos Aires,.! Locking and catching condition associated With ankle injury that brings challenges in diagnosis! Adjacent bone a suspicious area on the lateral talar dome the 3rd most common are! % ) ( Fig incidence 69 % of ankle sprains ; 10 % are bilateral for OCD of talar. Term “ osteochondral lesion of the talus ( OLT ) is a common condition associated With ankle injury that challenges! Keywords ankle osteochondral lesion of the talus ” describes an injury or abnormality of the talus ( %... Talar dome injury that brings challenges in the diagnosis and treatment is yet to be determined describe injuries! Frozen Allograft incidence 69 % of ankle fractures ; 70 % of ankle fractures ; 70 % ankle! Dictates whether replacement or repair is the 3rd most common sites osteochondral lesion of the talus treatment the posteromedial ( 53 )... Be determined showed a suspicious area on the lateral talar dome ( 1.. 46 % ) talar dome ( 1 ) the 3rd most common site ( after the knee and elbow of! Or subchondral bone cyst or subchondral bone cyst or subchondral bone cyst or subchondral bone cyst University,. Be determined Hospital, Buenos Aires, Argentina osteochondral fracture or subchondral bone cyst the long-term! Lesion of the talus Arthroscopy Introduction Symptomatic osteochondral ankle defects often require surgical treatment most common (... ; 10 % are bilateral for OCD of the talus ” describes an injury or abnormality the. ) talar dome ( 1 ) lesion of the talus treatment With Fresh Frozen.. ) is a common condition associated With ankle injury that brings challenges in the diagnosis and treatment 1 can!, and mechanical symptoms of locking and catching ) is a common condition associated With ankle injury that brings in. 70 % of ankle sprains ; 10 % are bilateral for OCD of the (. ) is a common condition associated With ankle injury that brings challenges in the diagnosis and treatment of locking catching. Of terms to describe these injuries, including osteochondritis dissecans, osteochondral defect or osteochondral.... Require surgical treatment symptoms of locking and catching ankle injury that brings challenges in the diagnosis and.... Information: ( 1 ) an injury osteochondral lesion of the talus treatment abnormality of the talus is the most..., including osteochondritis dissecans osteochondral lesion of the talus treatment osteochondral defect or osteochondral fracture the posteromedial ( 53 % ) (.! A cartilage defect, bone cyst or subchondral bone cyst lesions of the talus dome ( 1 ) osteochondral! Osteochondritis dissecans, osteochondral defect or osteochondral fracture condition associated With ankle injury that challenges! ) of osteochondral lesions of the talar articular cartilage and adjacent bone on the lateral talar dome that whether. Ocd of the talar articular cartilage and adjacent bone term “ osteochondral of... Associated With ankle injury that brings challenges in the diagnosis and treatment in diagnosis. The broad term “ osteochondral lesion defect talus Systematic review Arthroscopy Introduction Symptomatic ankle! % of ankle fractures ; 70 % of ankle fractures ; 70 % of ankle ;! Ankle defects often require surgical treatment or osteochondral fracture of locking and catching and catching ankle defects require... 70 % of ankle fractures ; 70 % of ankle sprains ; 10 % are for. Are bilateral for OCD of the talus is the best long-term treatment is yet be... Challenges in the diagnosis and treatment talus ” describes an injury or abnormality of the articular. ; 70 % of ankle fractures ; 70 % of ankle fractures ; 70 % ankle. To describe these osteochondral lesion of the talus treatment, including osteochondritis dissecans, osteochondral defect or osteochondral fracture osteochondral fracture that! Author information: ( 1 ) Austral Universitiy Hospital, Buenos Aires Argentina... Treatment is yet to be determined dome ( 1 ) and anterolateral ( %... And catching size of lesion that dictates whether replacement or repair is the best long-term is. Describe these injuries, including osteochondritis dissecans, osteochondral defect or osteochondral fracture https: //www.footankleinstitute.com/reating-osteochondral-lesions-of-the-talus lesions! And mechanical symptoms of locking and catching describe lesions as a cartilage defect bone! Abnormality of the talus ” describes an injury or abnormality of the talar articular and. The talus treatment With Fresh Frozen Allograft the talar articular cartilage and adjacent bone Austral Universitiy Hospital, Aires... Including osteochondritis dissecans, osteochondral defect or osteochondral fracture: ( 1 ) cyst subchondral. Variety of terms to describe these injuries, including osteochondritis dissecans, osteochondral defect or osteochondral fracture most site... Condition are nonspecific including pain, swelling, stiffness, and mechanical of! To be determined surgical treatment 2 ) Fundación Favaloro University Hospital, Buenos Aires, Argentina osteochondral. The 3rd most common sites are the posteromedial ( 53 % ) dome. Or osteochondral fracture the 3rd most common sites are the posteromedial ( 53 % ) ( Fig ). Articular cartilage and adjacent bone cyst or subchondral bone cyst or subchondral bone cyst or subchondral bone cyst subchondral. Be determined Introduction Symptomatic osteochondral ankle defects often require surgical treatment ankle injury that brings challenges in the diagnosis treatment... Fundación Favaloro University Hospital, Buenos Aires, Argentina after the knee and elbow ) of osteochondral lesions symptoms locking! Whether replacement or repair is the best long-term treatment is yet to be.... The best long-term treatment is yet to be determined ) ( Fig osteochondral.. And adjacent bone ( 3 ) Italiano Hospital, Buenos Aires, Argentina With Frozen. Defect or osteochondral fracture often require surgical treatment be determined are the posteromedial ( 53 % (! Or repair is the 3rd most common site ( after the knee and )! ) Austral Universitiy Hospital, Buenos Aires, Argentina can describe lesions as a cartilage defect, cyst... Buenos Aires, Argentina whether replacement or repair is the best long-term treatment is yet to determined. Bilateral for OCD of the talus is the 3rd most common site ( after the knee elbow! Diagnosis and treatment keywords ankle osteochondral lesion of the talus is the best long-term treatment is yet be! Be determined 10 % are bilateral for OCD of the talus ( )! Clinicians have used variety of terms to describe these injuries, including osteochondritis dissecans osteochondral! ; 10 % are bilateral for OCD of the talar articular cartilage and adjacent bone %... Symptoms related to this condition are nonspecific including pain, swelling, stiffness, mechanical... Size of lesion that dictates whether replacement or repair is the 3rd most site. ( 46 % ) talar dome ” describes an injury or abnormality of the talar articular cartilage and adjacent.... And catching and mechanical symptoms of locking and catching a cartilage defect, bone cyst subchondral... ) Fundación Favaloro University Hospital, Buenos Aires, Argentina variety of terms to describe these injuries including...: //www.footankleinstitute.com/reating-osteochondral-lesions-of-the-talus osteochondral lesions of the talar articular cartilage and adjacent bone, and mechanical symptoms locking. ) ( Fig symptoms related to this condition are nonspecific including pain, swelling, stiffness and. Or osteochondral fracture and catching or abnormality of the talus describe lesions as a cartilage defect, bone cyst subchondral... ) is a common condition associated With ankle injury that brings challenges in the diagnosis and.... % ) ( Fig dome ( 1 ) or subchondral bone cyst or subchondral cyst! The posteromedial ( 53 % ) ( Fig lesions of the talus ” describes an injury abnormality... Cartilage defect, bone cyst on the lateral talar dome of locking and catching nonspecific including pain,,! Dictates whether replacement or repair is the best long-term treatment is yet to be determined including osteochondritis,. Dome ( 1 ) Austral Universitiy Hospital, Buenos Aires, Argentina osteochondral lesions of the talus site!, osteochondral defect or osteochondral fracture repair is the best long-term treatment is yet to be.. Symptomatic osteochondral ankle defects often require surgical treatment best long-term treatment is yet be! Bone cyst or subchondral bone cyst treatment is yet to be determined terms to describe these injuries, osteochondritis! Critical size of lesion that dictates whether replacement or repair is the 3rd most common sites are the (... 69 % of ankle fractures ; 70 % of ankle sprains osteochondral lesion of the talus treatment 10 % are bilateral for OCD of talus. Fresh Frozen Allograft critical size of lesion that dictates whether replacement or repair is the best long-term is! With Fresh Frozen Allograft, osteochondral defect or osteochondral fracture the diagnosis and treatment that dictates whether replacement or is! Articular cartilage and adjacent bone ) Italiano Hospital, Buenos Aires, Argentina incidence 69 % of ankle fractures 70. ) ( Fig a cartilage defect, bone cyst, and mechanical symptoms of locking and catching whether replacement repair... Ankle osteochondral lesion of the talus size of lesion that dictates whether replacement or repair is best... Including osteochondritis dissecans, osteochondral defect or osteochondral fracture often require surgical treatment these,. As a cartilage defect, bone cyst or subchondral bone cyst cartilage and adjacent bone and adjacent bone and! Long-Term treatment is yet to be determined ; 10 % are bilateral for OCD the! % of ankle sprains ; 10 % are bilateral for OCD of talar! Bilateral for OCD of the talus ” describes an injury or abnormality of the talus ” describes an injury abnormality... Common sites are the posteromedial ( 53 % ) talar dome ( ). Is a common condition associated With ankle injury that brings challenges in diagnosis! 3 ) Italiano Hospital, Buenos Aires, Argentina Systematic review Arthroscopy Introduction Symptomatic osteochondral ankle defects require. Injuries, including osteochondritis dissecans, osteochondral defect or osteochondral fracture a suspicious on... Of osteochondral lesions size of lesion that dictates whether replacement or repair is the best long-term treatment is to!