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Osteochondral Lesions of the Talus

February 24, 2016

Contributors: Mark E Easley, MD

This video demonstrates both autologous chondrocyte implantation and ostechondral allografting to treat osteochondral lesions of the talus (OLTs). These are techniques that fill the defect with near-normal hyaline cartilage. Lesions that involve a substantial portion of the talus or the talar shoulder are difficult to treat with OAT or ACI and are probably best managed with structural allograft reconstruction. Moreover, structural allograft reconstruction may represent a reasonable alternative to ankle arthrodesis when OAT or ACI have failed. The challenge in structural allograft reconstruction is often obtaining an appropriate talar allograft.

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