Open Treatment of Osteochondral Lesions of the Talus

  • Daniel J. Cuttica
  • Christopher W. Reb


Osteochondral lesions of the talus are a frequently encountered treatment challenge for the foot and ankle surgeon. Treatment options for these lesions can vary. Nonoperative treatment has a low success rate, while operative intervention has better outcomes. Multiple operative treatment modalities exist. These include excision with debridement and drilling or microfracture, as well as osteochondral grafting, using autograft or allograft. Knowledge of the proper exposures and treatment modalities is essential for the foot and ankle surgeon.


Osteochondral lesion Osteochondritis dissecans Cartilage Talus Open treatment 


  1. 1.
    Kappis MK. Weitere beitrage zur traumatisch-mechanischen entstehung der “spontanen” knorpela biosungen. Dtsch Z Chir. 1922;171:13–29.CrossRefGoogle Scholar
  2. 2.
    Konig F. Uber freie Korper in den gelenken. Dtsch Z Chir. 1888;27:90–109.CrossRefGoogle Scholar
  3. 3.
    Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 1959;41-A:988–1020.CrossRefGoogle Scholar
  4. 4.
    Tol JL, Struijs PA, Bossuyt PM, Verhagen RA, van Dijk CN. Treatment strategies in osteochondral defects of the talar dome: a systematic review. Foot Ankle Int. 2000;21(2):119–26.CrossRefGoogle Scholar
  5. 5.
    Alexander AH, Lichtman DM. Surgical treatment of transchondral talar-dome fractures (osteochondritis dissecans). Long-term follow-up. J Bone Joint Surg Am. 1980;62(4):646–52.CrossRefGoogle Scholar
  6. 6.
    Stone JW. Osteochondral lesions of the talar dome. J Am Acad Orthop Surg. 1996;4(2):63–73.CrossRefGoogle Scholar
  7. 7.
    Peters PG, Parks BG, Schon LC. Anterior distal tibia plafondplasty for exposure of the talar dome. Foot Ankle Int. 2012;33(3):231–5.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Daniel J. Cuttica
    • 1
  • Christopher W. Reb
    • 2
  1. 1.Assistant Professor of Clinical Orthopaedic SurgeryGeorgetown University School of Medicine, The Orthopaedic Foot and Ankle Center, a division of Centers for Advanced OrthopaedicsFalls ChurchUSA
  2. 2.University of Florida, Department of Orthopedics, Division of Foot and Ankle SurgeryGainesvillesUSA

Personalised recommendations