Abstract
This chapter will review osteochondral lesions of the ankle. The anatomic characteristics of the lesions of both the talus and tibial plafond will be identified and reviewed. After exploring the anatomic aspects we will integrate and introduce treatment modalities utilized in care of the patients. This will include techniques of the procedures and published outcomes. This chapter aims to provide the reader with a concise yet thorough view into pathology and treatment of osteochondral injuries of the ankle.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Shimozono Y, Hurley ET, Nguyen JT, Deyer TW, Kennedy JG. Allograft compared with autograft in osteochondral transplantation for the treatment of osteochondral lesions of the talus. J Bone Joint Surg. 2018;100(21):1838–44. https://doi.org/10.2106/JBJS.17.01508.
Pereira H, Cengiz IF, Vilela C, Ripoll PL, Espregueira-Mendes J, Oliveira JM, et al. Emerging concepts in treating cartilage, osteochondral defects, and osteoarthritis of the knee and ankle. Adv Exp Med Biol. 2018:25–62. https://doi.org/10.1007/978-3-319-76735-2_2.
Chubinskaya S, Cotter EJ, Frank RM, Hakimiyan AA, Yanke AB, Cole BJ. Biologic characteristics of shoulder articular cartilage in comparison to knee and ankle articular cartilage from individual donors. Cartilage. 2019:194760351984774. https://doi.org/10.1177/1947603519847740.
Raikin SM, Elias I, Zoga AC, Morrison WB, Besser MP, Schweitzer ME. Osteochondral lesions of the talus: localization and morphologic data from 424 patients using a novel anatomical grid scheme. Foot Ankle Int. 2007;28(2):154–61. https://doi.org/10.3113/fai.2007.0154.
Dahmen J, Lambers KTA, Reilingh ML, Bergen CJAV, Stufkens SAS, Kerkhoffs GMMJ. No superior treatment for primary osteochondral defects of the talus. Knee Surg Sports Traumatol Arthrosc. 2017;26(7):2142–57. https://doi.org/10.1007/s00167-017-4616-5.
Georgiannos D, Bisbinas I, Badekas A. Osteochondral transplantation of autologous graft for the treatment of osteochondral lesions of talus: 5- to 7-year follow-up. Knee Surg Sports Traumatol Arthrosc. 2014;24(12):3722–9. https://doi.org/10.1007/s00167-014-3389-3.
Mei-Dan O, Carmont MR, Laver L, Mann G, Maffulli N, Nyska M. Platelet-rich plasma or hyaluronate in the management of osteochondral lesions of the talus. Am J Sports Med. 2012;40(3):534–41.
Murawski CD, Kennedy JG. Operative treatment of osteochondral lesions of the talus. J Bone Joint Surg. 2013;95(11):1045–54. https://doi.org/10.2106/jbjs.l.00773.
Ramponi L. Lesion size is a predictor of clinical outcomes after bone marrow stimulation for osteochondral lesions of the talus: a systematic review. Am J Sports Med. 2017;45(7):1698–705.
Hogan MV, Hicks JJ, Chambers MC, Kennedy JG. Biologic adjuvants for the Management of Osteochondral Lesions of the talus. J Am Acad Orthop Surg. 2019;27(3):e105–11. https://doi.org/10.5435/JAAOS-D-16-00840.
Karnovsky SC, DeSandis B, Haleem AM, Sofka CM, O’Malley M, Drakos MC. Comparison of juvenile Allogenous articular cartilage and bone marrow aspirate concentrate versus microfracture with and without bone marrow aspirate concentrate in arthroscopic treatment of Talar osteochondral lesions. Foot Ankle Int. 2018;39(4):393–405. https://doi.org/10.1177/1071100717746627.
Matthew M, Eric G, Martin S. Cartilage transplantation techniques for Talar cartilage lesions. J Am Acad Orthop Surg. 2009;17(7):407–14. Cited in: Journals@Ovid Full Text at http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=ovftk&NEWS=N&AN=00124635-200907000-00001. Accessed May 04, 2020
Giannini S, Buda R, Ruffilli A, Cavallo M, Pagliazzi G, Bulzamini MC, Desando G, Luciani D, Vannini F. Arthroscopic autologous chondrocyte implantation in the ankle joint. Knee Surg Sports Traumatol Arthrosc. 2014;22(6):1311–9.
Giza E, Sullivan M, Ocel D, Lundeen G, Mitchell ME, Veris L, Walton J. Matrix-induced autologous chondrocyte implantation of talus articular defects. Foot Ankle Int. 2010;31(9):747–53. https://doi.org/10.3113/fai.2010.0747.
Kreulen C, Giza E, Walton J, Sullivan M. Seven-year follow-up of matrix-induced autologous implantation in talus articular defects. Foot Ankle Spec. 2018;11(2):133–7. https://doi.org/10.1177/1938640017713614.
Ross KA, Robbins J, Easley ME, Kennedy JG. Autologous osteochondral transplantation for osteochondral lesions of the talus. Oper Tech Orthop. 2014;24(3):171–80. https://doi.org/10.1053/j.oto.2014.02.012.
Kennedy JG, Murawski CD. The treatment of osteochondral lesions of the talus with autologous osteochondral transplantation and bone marrow aspirate concentrate: surgical technique. Cartilage. 2011;2(4):327–36. https://doi.org/10.1177/1947603511400726.
Hangody L, Dobos J, Baló E, et al. Clinical experiences with autologous osteochondral mosaicplasty in an athletic population: a 17-year prospective multicenter study. Am J Sports Med. 2010;6:1125–33.
Bisicchia S, Rosso F, Amendola A. Osteochondral allograft of the talus. Iowa Orthop J. 2014;34:30–7.
Gaul F, TÃrico LEP, McCauley JC, Pulido PA, Bugbee WD. Osteochondral allograft transplantation for osteochondral lesions of the talus: midterm follow-up. Foot Ankle Int. 2019;40(2):202–9. https://doi.org/10.1177/1071100718805064.
Bauer M, Jonsson K, Lindén B. Osteochondritis dissecans of the ankle. A 20-year follow-up study. J Bone Joint Surg Br. 1987;69:93–6.
Parisien JS, Vangsness T. Operative arthroscopy of the ankle. Three years’ experience. Clin Orthop Relat Res. 1985;199:46–53.
Bui-Mansfield LT, Kline M, Chew FS, Rogers LF, Lenchik L. Osteochondritis dissecans of the tibial plafond: imaging characteristics and a review of the literature. AJR Am J Roentgenol. 2000;175:1305–8.
Mologne TS, Ferkel RD. Arthroscopic treatment of osteochondral lesions of the distal tibia. Foot Ankle Int. 2007;28:865–72.
Elias I, Raikin SM, Schweitzer ME, Besser MP, Morrison WB, Zoga AC. Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid. Foot Ankle Int. 2009;30:524–9.
Sopov V, Liberson A, Groshar D. Bilateral distal tibial osteochondral lesion: a case report. Foot Ankle Int. 2001;22:901–4.
Athanasiou KA, Niederauer GG, Schenck RC. Biomechanical topography of human ankle cartilage. Ann Biomed Eng. 1995;23:697–704.
Hall FM. Osteochondritis dissecans of the tibial plafond. AJR Am J Roentgenol. 2001;176:1328–9.
Irwin RM, Shimozono Y, Yasui Y, Megill R, Deyer TW, Kennedy JG. Incidence of coexisting Talar and Tibial osteochondral lesions correlates with patient age and lesion location. Orthop J Sports Med. 2018;6:2325967118790965.
You JY, Lee GY, Lee JW, Lee E, Kang HS. An osteochondral lesion of the distal tibia and fibula in patients with an osteochondral lesion of the talus on MRI: prevalence, location, and concomitant ligament and tendon injuries. AJR Am J Roentgenol. 2016;206:366–72.
Elias I, Zoga AC, Morrison WB, Besser MP, Schweitzer ME, Raikin SM. Osteochondral lesions of the talus: localization and morphologic data from 424 patients using a novel anatomical grid scheme. Foot Ankle Int. 2007;28:154–61.
Canosa J. Mirror image osteochondral defects of the talus and distal tibia. Int Orthop. 1994;18:395–6.
Cuttica DJ, Smith WB, Hyer CF, Philbin TM, Berlet GC. Arthroscopic treatment of osteochondral lesions of the tibial plafond. Foot Ankle Int. 2012;33:662–8.
Ross KA, Hannon CP, Deyer TW, Smyth NA, Hogan M, Do HT, Kennedy JG. Functional and MRI outcomes after arthroscopic microfracture for treatment of osteochondral lesions of the distal tibial plafond. J Bone Joint Surg Am. 2014;96:1708–15.
Chapman CB, Mann JA. Distal tibial osteochondral lesion treated with osteochondral allografting: a case report. Foot Ankle Int. 2005;26:997–1000.
Ueblacker P, Burkart A, Imhoff AB. Retrograde cartilage transplantation on the proximal and distal tibia. Arthroscopy. 2004;20:73–8.
Nakamae A, Engebretsen L, Peterson L. Autologous chondrocyte transplantation for the treatment of massive cartilage lesion of the distal tibia: a case report with 8-year follow-up. Knee Surg Sports Traumatol Arthrosc. 2007;15:1469–72.
Miska M, Wiewiorski M, Valderrabano V. Reconstruction of a large osteochondral lesion of the distal tibia with an iliac crest graft and autologous matrix-induced chondrogenesis (AMIC): a case report. J Foot Ankle Surg. 2012;51:680–3.
Pearce CJ, Lutz MJ, Mitchell A, Calder JDF. Treatment of a distal tibial osteochondral lesion with a synthetic osteochondral plug: a case report. Foot Ankle Int. 2009;30:900–3.
Flynn S, Ross K, Hannon C, Yasui Y, Newman H, Murawski C, Deyer T, Do H, Kennedy J. Autologous osteochondral transplantation for osteochondral lesions of the talus. Foot Ankle Int. 2015;37 https://doi.org/10.1177/1071100715620423.
Vantienderen RJ, Dunn JC, Kusnezov N, Orr JD. Osteochondral allograft transfer for treatment of osteochondral lesions of the talus: a systematic review. Arthroscopy. 2017;33(1):217–22. https://doi.org/10.1016/j.arthro.2016.06.011.
van Bergen CJ, Kox LS, Maas M, Sierevelt IN, Kerkhoffs GM, van Dijk CN. Arthroscopic treatment of osteochondral defects of the talus outcomes at eight to twenty years of follow-up. J Bone Joint Surg Am. 2013;95-A:519–25.
Baldassarri M, Perazzo L, Ricciarelli M, Natali S, Vannini F, Buda R. Regenerative treatment of osteochondral lesions of distal tibial plafond. Eur J Orthop Surg Traumatol. 2018;28:1199–207.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 ISAKOS
About this chapter
Cite this chapter
Baldwin, E.L., Allahabadi, S., Lau, B.C., Amendola, A. (2022). Osteochondral Lesions of the Ankle: Talus and Distal Tibia. In: Gobbi, A., Lane, J.G., Longo, U.G., Dallo, I. (eds) Joint Function Preservation. Springer, Cham. https://doi.org/10.1007/978-3-030-82958-2_33
Download citation
DOI: https://doi.org/10.1007/978-3-030-82958-2_33
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-82957-5
Online ISBN: 978-3-030-82958-2
eBook Packages: MedicineMedicine (R0)