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Cartilage Techniques for Osteochondral Lesions of the Talus

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Sports Injuries of the Foot and Ankle

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Abstract

Symptomatic osteochondral lesions of the talus (OLT) often require surgical treatment. Surgery can be broadly divided into reparative, including bone marrow stimulation, and replacement procedures, including osteochondral autograft transplantation and osteochondral allograft transplantation. Other surgical options include autologous chondrocyte implantation and subsequently matrix-induced autologous chondrocyte implantation, which have the potential to promote regeneration; however the supporting evidence is still limited. Additionally, biological adjuncts and scaffolds have been shown to have promising evidence and may be utilized alongside surgery to improve healing potential. This chapter will review the main treatment options for OLT, with guidelines on when each treatment is indicated to optimize patient outcomes.

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Authors and Affiliations

  1. Hospital for Special Surgery, New York, NY, USA

    Eoghan T. Hurley & Yoshiharu Shimozono

  2. Royal College of Surgeons in Ireland, Dublin, Ireland

    Eoghan T. Hurley

  3. NYU Langone Health, New York, NY, USA

    Yoshiharu Shimozono & John G. Kennedy

Authors
  1. Eoghan T. Hurley
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  2. Yoshiharu Shimozono
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  3. John G. Kennedy
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Correspondence to John G. Kennedy .

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Editors and Affiliations

  1. Centre of Sports Traumatology Koelliker Hospital, Torino, Italy

    Gian Luigi Canata

  2. Department of Orthopaedic Surgery, Aspetar Hospital, Doha, Qatar

    Pieter d'Hooghe

  3. Department of Orthopedics, University of Colorado Hospital, Aurora, CO, USA

    Kenneth J. Hunt

  4. Department of Orthopedic Surgery, University of Amsterdam Academic Medical Center, Amsterdam Zuidoost, Noord-Holland, The Netherlands

    Gino M.M.J. Kerkhoffs

  5. Orthopaedics and Traumatology Unit, University Campus Bio medico, Rome, Italy

    Umile Giuseppe Longo

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Hurley, E.T., Shimozono, Y., Kennedy, J.G. (2019). Cartilage Techniques for Osteochondral Lesions of the Talus. In: Canata, G., d'Hooghe, P., Hunt, K., Kerkhoffs, G., Longo, U. (eds) Sports Injuries of the Foot and Ankle. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58704-1_9

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