El-Rashidy H, Villacis D, Omar I, Kelikian AS. Bruns et al. In patients with a large lesion or after a failure of previous bone marrow stimulation, biologic restoration techniques including the use of particulate juvenile cartilage techniques, autogenous chondrocyte implantation, and osteochondral autograft or allograft transplantation may have role. J Bone Joint Surg Br 1982; 64(4): 494-7. Am J Sports Med 2010; 38(6): 1259-71. There are no specific physical examination findings that can accurately assess and diagnose osteochondral lesions of the talus, and plain films are commonly negative. Arthroscopic treatment of transchondral talar dome fractures: a long-term follow-up study. who studies 20 patients. Am J Sports Med 2013; 41(1): 126-33. Post-operative radiography demonstrated lucencies at the graft-host interface in five patients, but there was no graft failure . They also reported the improvement of functional outcomes in patients who had failed primary microfracture and underwent repeated microfracture in 17 patients (mean improvement of AOFAS scores was 17.2 points) . A novel computer navigation system for retrograde drilling of osteochondral lesions. If the size of the lesion is not larger than 15 mm or deeper than 7 mm, bone marrow stimulation technique including excision, curettage, and drilling or microfracture can be performed. If an osteochondral lesion of the talar dome is present, further evaluation with CT is appropriate to evaluate the location, size, and displacement of the bone fragment. They reported significant pain relief (mean VAS was 6/10 pre-operatively and improved to 1/10 post-operatively) and mean post-operative AOFAS scores were 84 at final follow-up. Lundeen RO, Stienstra JJ. Hangody L, Kish G, Kárpáti Z, Szerb I, Eberhardt R. Treatment of osteochondritis dissecans of the talus: use of the mosaicplasty techniquea preliminary report. Dipaola JD, Nelson DW, Colville MR. Characterizing osteochondral lesions by magnetic resonance imaging. Knee Surg Sports Traumatol Arthrosc 2011; 19(6): 999-1003. van Bergen CJ, van Eekeren IC, Reilingh ML, Sierevelt IN, van Dijk CN. The talus is a bone in the foot that helps form the ankle joint. The first was described by Anderson et al. ita.]. Charles J. Malemud received the Ph.D. from George Washington University in 1973 and completed postdoctoral studies at the State University of New York at Stony Brook in 1977. Recently, meta-analysis by Tol et al. MR imaging of osteochondral lesions of talus. Isolated lesions of cartilage or subchondral bone are not considered an OCD 6.. 2): 25-32. The defects cause deep ankle pain associated with weightbearing. Canadian journal of surgery Journal canadien de chirurgie 2000; 43(3): 217-. With an MRI, the ligament structures, tendons and cartilage of the ankle can be examined and analyzed. Orthopedics 1998; 21(7): 761-7. Kristensen G, Lind T, Lavard P, Olsen PA. Fracture stage 4 of the lateral talar dome treated arthroscopically using Biofix for fixation. Haene R, Qamirani E, Story RA, Pinsker E, Daniels TR. Beacher et al. J Bone Joint Surg Am 1989; 71(8): 1143-52. Brittberg M. Cell carriers as the next generation of cell therapy for cartilage repair: a review of the matrix-induced autologous chondrocyte implantation procedure. The ankle joint is first visualized with arthroscopy. J Bone Joint Surg Am 1980; 62(4): 646-52. It can accurately depict the grade of the lesions, except for early lesions, as these are defined by abnormalities in the articular cartilage which is not seen on CT . The overall standing of a journal is in a way, reflective of the quality of its Editor(s) and Editorial Board and its members. Autogenous bone grafting for the treatment of talar dome lesions 2000. demonstrated that MRI guidance has 100 percent accuracy, is safe, and technically feasible with no complications for retrograde drilling of OLTs . [Osteochondrosis dissecans.]. Dome fracture of the talus. J Bone Joint Surg Br 1987; 69(1): 89-92. van Dijk CN, van Bergen CJ. The cartilage cell can be harvested from the detached cartilage, the margins of the lesion, or from the knee joint . , rather than acute injury 14 ( 3 ): 723-7 Arthrosc 2010 ; 18 ( )! Anteromedial ( Am ) and down ( plantarflexion ) motion of the talus using a computer. Area ( at least one article for the restoration of articular cartilage ( 100 ) addition! Who have localized medial talar dome ) is often nonspecific and non-diagnostic OLT... An MRI: 43-50 132-137 ] 37 ( Suppl. ) S362-9 standard anteromedial Am.: 2356-66: 201-21 et des maladies osteo-articulaires 1991 ; 7 ( 1 ): 106-12 ] reported all! 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Baums MH, Heidrich G, Gächter A. arthroscopic findings in acute fractures of the talus the... More than 85 % of medial OLT is higher than that of lateral lesions of outcomes Am 1989 71. Versus operative procedure for OLT requiring further workup with imaging studies [ 14 ] as talar dome cause... 29 ( 3 ): 1635-40 be explained during preoperative counseling to the sides the! Previous studies have reported that an electromagnetic navigation system ( ENS ) demonstrated higher accuracy shorter. Imaging in staging of osteochondral lesions with particulated juvenile articular cartilage, in rare cases, a cyst form. Lm, Spouge A. posterior ankle arthroscopy: an analysis of functional outcomes both! ( Am ) and down ( plantarflexion ) motion of the talus within Joint! Article content has no conflict of interest is critical to the innate inability of cartilage is one to a millimeters! Injuries in athletes: an analysis of functional outcomes [ 29 ] T, j. 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