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Minimally Invasive Management of Osteochondral Defects to the Talus

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Intraarticular Fractures

Abstract

An osteochondral defect (OCD) to the talus represents a pathologic combined articular cartilage and subchondral bone lesion that can severely affect the quality of life of the active patient. Although bone marrow stimulation, autologous chondrocyte implantation and autologous osteochondral transplantation are the most commonly practiced surgical procedures, worldwide consensus amongst orthopaedic surgeons on the optimal treatment strategy of symptomatic defects after adequate non-surgical treatment and failed prior surgical treatment has yet to be achieved despite substantial clinical research. In this chapter we present a historical perspective and an updated and evidence-based insight into the current concepts of different minimally invasive treatment strategies for primary talar OCDs and those that failed prior surgical treatment. Additionally, we describe the technique, the results and the corresponding postoperative management of a promising minimally invasive arthroscopic internal fixation procedure, known as the “Lift, Drill, Fill and Fix” (LDFF) technique.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands

    Jari Dahmen, Kaj T. A. Lambers, Mikel L. Reilingh & Gino M. M. J. Kerkhoffs

  2. Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam, The Netherlands

    Jari Dahmen, Kaj T. A. Lambers, Mikel L. Reilingh & Gino M. M. J. Kerkhoffs

  3. Amsterdam Collaboration for Health and Safety in Sports (ACHSS), AMC/VUmc IOC Research Center, Amsterdam, The Netherlands

    Jari Dahmen, Kaj T. A. Lambers, Mikel L. Reilingh & Gino M. M. J. Kerkhoffs

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  1. Jari Dahmen
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  2. Kaj T. A. Lambers
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  3. Mikel L. Reilingh
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  4. Gino M. M. J. Kerkhoffs
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Correspondence to Jari Dahmen .

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Editors and Affiliations

  1. Department of Orthopedics and Traumatology, T.C. Ufuk University, Ankara, Turkey

    Mahmut Nedim Doral

  2. Department of Orthopaedics, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden

    Jón Karlsson

  3. Kosair Charities College of Health and Natural Sciences, Spalding University, Louisville, KY, USA

    John Nyland

  4. Helfentalweg 1A, Landeskrankenhaus Feldkirch Abt. Unfallchirurgie, Innsbruck, Austria

    Karl Peter Benedetto

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Dahmen, J., Lambers, K.T.A., Reilingh, M.L., Kerkhoffs, G.M.M.J. (2019). Minimally Invasive Management of Osteochondral Defects to the Talus. In: Doral, M., Karlsson, J., Nyland, J., Benedetto, K. (eds) Intraarticular Fractures. Springer, Cham. https://doi.org/10.1007/978-3-319-97602-0_41

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  • DOI: https://doi.org/10.1007/978-3-319-97602-0_41

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