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Articular Cartilage Repair Strategies in the Ankle Joint

  • Chapter
Cartilage Repair Strategies

Abstract

Osteochondral lesions of the talus represent a significant source of disability to those affected. An understanding of the common mechanisms of injury and a high index of suspicion leads to early diagnosis and treatment. Most osteochondral lesions are a sequel of trauma; the exact etiology of others is unclear and may be multifactorial and related to microtrauma, genetic predisposition, or metabolic factors. Definitive imaging of osteochondral lesions consists of imaging with magnetic resonance, which is useful for qualitative analysis of the bony changes and the condition of the overlying cartilage. Just over half of patients with symptomatic osteochondral lesions of the talus will improve with nonoperative treatment. Failure of conservative therapy mandates operative treatment; surgical options include arthroscopy with debridement, drilling or microfracture of the lesion, mosaicplasty or osteochondral autografting, or autologous chondrocyte transplantation. The future for treating cartilage defects in the ankle is likely to involve implants that allow cartilage regrowth and are positioned by minimally invasive surgical techniques.

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References

  1. Navid DO, Myerson MS. Approach alternatives for treatment of osteochondral lesions of the talus. Foot Ankle Clin 2002;7:635–649.

    Article  PubMed  Google Scholar 

  2. Pare A. Oeuvres Completes. Vol. 3. Paris: Balliere; 1840–1841:32.

    Google Scholar 

  3. Konig F. Ueber freie Korper in den Gelenken. Deutsche Zeitschr Chir 1888;27:90–109.

    Google Scholar 

  4. Kappis M. Weitere Beitrage zur traumatisch-mechanischen Enstehung der “spontanen” Knorpelablosungen (sog. Osteochondritis dissecans). Deutsche Zeitschr Chir 1922;171:13–29.

    Google Scholar 

  5. Guhl J, Kohn H, Zoltan D. Ankle arthroscopy. Surg Rounds Orthop 1989:51–62.

    Google Scholar 

  6. Canale ST, Belding RH. Osteochondral lesions of the talus. J Bone Joint Surg Am 1980;62: 97–102.

    PubMed  CAS  Google Scholar 

  7. Taga I, Shino K, Inoue M, Nakata K, Maeda A. Articular cartilage lesions in ankles with lateral ligament injury. An arthroscopic study. Am J Sports Med 1993;21:120–126; discussion 126–127.

    Article  PubMed  CAS  Google Scholar 

  8. Loomer R, Fisher C, Lloyd-Smith R, Sisler J, Cooney T. Osteochondral lesions of the talus. Am J Sports Med 1993;21:13–19.

    Article  PubMed  CAS  Google Scholar 

  9. Thompson JP, Loomer RL. Osteochondral lesions of the talus in a sports medicine clinic. A new radiographic technique and surgical approach. Am J Sports Med 1984;12:460–463.

    Article  PubMed  CAS  Google Scholar 

  10. Pritsch M, Horoshovski H, Farine I. Arthroscopic treatment of osteochondral lesions of the talus. J Bone Joint Surg Am 1986;68:862–865.

    PubMed  CAS  Google Scholar 

  11. Parisien JS. Arthroscopic treatment of osteochondral lesions of the talus. Am J Sports Med 1986;14:211–217.

    Article  PubMed  CAS  Google Scholar 

  12. Baker CL, Andrews JR, Ryan JB. Arthroscopic treatment of transchondral talar dome fractures. Arthroscopy 1986;2:82–87.

    Article  PubMed  Google Scholar 

  13. Schafer DB. Cartilage repair of the talus. Foot Ankle Clin 2003;8:739–749.

    Article  PubMed  Google Scholar 

  14. Flick AB, Gould N. Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions. Foot Ankle 1985; 5:165–185.

    PubMed  CAS  Google Scholar 

  15. Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. Am J Orthop 1959;41-A:988–1020.

    CAS  Google Scholar 

  16. Yao J, Weis E. Osteochondritis dissecans. Orthop Rev 1985; 14:190–204.

    Google Scholar 

  17. Hintermann B, Boss A, Schafer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med 2002;30:402–409.

    PubMed  Google Scholar 

  18. Loren GJ, Ferkel RD. Arthroscopic assessment of occult intra-articular injury in acute ankle fractures. Arthroscopy 2002;18:412–421.

    Article  PubMed  Google Scholar 

  19. Hintermann B, Regazzoni P, Lampert C, Stutz G, Gachter A. Arthroscopic findings in acute fractures of the ankle. J Bone Joint Surg Br 2000;82:345–351.

    Article  PubMed  CAS  Google Scholar 

  20. Komenda GA, Ferkel RD. Arthroscopic findings associated with the unstable ankle. Foot Ankle Int 1999;20:708–713.

    PubMed  CAS  Google Scholar 

  21. Canosa J. Mirror image osteochondral defects of the talus and distal tibia. Int Orthop 1994; 18:395–396.

    Article  PubMed  CAS  Google Scholar 

  22. Frey C. Foot and ankle arthroscopy and endoscopy. In: Myerson M, ed. Foot and Ankle Disorders. Vol. 2. Philadelphia: Saunders; 2000:1477–1511.

    Google Scholar 

  23. Urman M, Ammann W, Sisler J, et al. The role of bone scintigraphy in the evaluation of talar dome fractures. J Nucl Med 1991;32:2241–2244.

    PubMed  CAS  Google Scholar 

  24. Mintz DN, Tashjian GS, Connell DA, Deland JT, O’Malley M, Potter HG. Osteochondral lesions of the talus: a new magnetic resonance grading system with arthroscopic correlation. Arthroscopy 2003;19:353–359.

    Article  PubMed  Google Scholar 

  25. De Smet AA, Fisher DR, Burnstein MI, Graf BK, Lange RH. Value of MR imaging in staging osteochondral lesions of the talus (osteochondritis dissecans): results in 14 patients. AJR Am J Roentgenol 1990;154:555–558.

    PubMed  Google Scholar 

  26. Dipaola JD, Nelson DW, Colville MR. Characterizing osteochondral lesions by magnetic resonance imaging. Arthroscopy 1991;7:101–104.

    Article  PubMed  CAS  Google Scholar 

  27. Yulish BS, Mulopulos GP, Goodfellow DB, Bryan PJ, Modic MT, Dollinger BM. MR imaging of osteochondral lesions of talus. J Comput Assist Tomogr 1987;11:296–301.

    Article  PubMed  CAS  Google Scholar 

  28. McCauley TR, Disler DG. Magnetic resonance imaging of articular cartilage of the knee. J Am Acad Orthop Surg 2001;9:2–8.

    PubMed  CAS  Google Scholar 

  29. Potter HG, Linklater JM, Allen AA, Hannafin JA, Haas SB. Magnetic resonance imaging of articular cartilage in the knee. An evaluation with use of fast-spin-echo imaging. J Bone Joint Surg Am 1998;80:1276–1284.

    PubMed  CAS  Google Scholar 

  30. Recht M, White LM, Winalski CS, Miniaci A, Minas T, Parker RD. MR imaging of cartilage repair procedures. Skeletal Radiol 2003;32:185–200.

    Article  PubMed  Google Scholar 

  31. Higashiyama I, Kumai T, Takakura Y, Tamail S. Follow-up study of MRI for osteochondral lesion of the talus. Foot Ankle Int 2000;21:127–133.

    PubMed  CAS  Google Scholar 

  32. Anderson IF, Crichton KJ, Grattan-Smith T, Cooper RA, Brazier D. Osteochondral fractures of the dome of the talus. J Bone Joint Surg Am 1989;71:1143–1152.

    PubMed  CAS  Google Scholar 

  33. Nelson DW, DiPaola J, Colville M, Schmidgall J. Osteochondritis dissecans of the talus and knee: prospective comparison of MR and arthroscopic classifications. J Comput Assist Tomogr 1990;14:804–808.

    Article  PubMed  CAS  Google Scholar 

  34. Hepple S, Winson IG, Glew D. Osteochondral lesions of the talus: a revised classification. Foot Ankle Int 1999;20:789–793.

    PubMed  CAS  Google Scholar 

  35. Cheng MS, Ferkel RD, Applegate GR. Osteochondral lesions of the talus: a radiologic and surgical comparison. Paper presented at: AAOS Annual Meeting; February 1995; New Orleans.

    Google Scholar 

  36. Assenmacher JA, Kelikian AS, Gottlob C, Kodros S. Arthroscopically assisted autologous osteochondral transplantation for osteochondral lesions of the talar dome: an MRI and clinical follow-up study. Foot Ankle Int 2001;22:544–551.

    PubMed  CAS  Google Scholar 

  37. 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;21:119–126.

    PubMed  CAS  Google Scholar 

  38. Shearer C, Loomer R, Clement D. Nonoperatively managed stage 5 osteochondral talar lesions. Foot Ankle Int 2002;23:651–654.

    PubMed  Google Scholar 

  39. Al-Ali D, Graichen H, Faber S, Englmeier KH, Reiser M, Eckstein F. Quantitative cartilage imaging of the human hind foot: precision and inter-subject variability. J Orthop Res 2002;20:249–256.

    Article  PubMed  Google Scholar 

  40. Kempson GE. Relationship between the tensile properties of articular cartilage from the human knee and age. Ann Rheum Dis 1982;41:508–511.

    Article  PubMed  CAS  Google Scholar 

  41. Kempson GE. Age-related changes in the tensile properties of human articular cartilage: a comparative study between the femoral head of the hip joint and the talus of the ankle joint. Biochim BiophysActa 1991;1075:223–230.

    CAS  Google Scholar 

  42. Van Buecken K, Barrack RL, Alexander AH, Ertl JP. Arthroscopic treatment of transchondral talar dome fractures. Am J Sports Med 1989;17:350–355;discussion 355–356.

    Article  PubMed  Google Scholar 

  43. Ewing JW. Arthroscopic management of transchondral talar-dome fractures (osteochondritis dissecans) and anterior impingement lesions of the ankle joint. Clin Sports Med 1991;10:677–687.

    PubMed  CAS  Google Scholar 

  44. Amendola A, Petrik J, Webster-Bogaert S. Ankle arthroscopy: outcome in 79 consecutive patients. Arthroscopy 1996;12:565–573.

    Article  PubMed  CAS  Google Scholar 

  45. Martin DF, Baker CL, Curl WW, Andrews JR, Robie DB, Haas AF. Operative ankle arthroscopy. Long-term followup. Am J Sports Med 1989; 17:16–23; discussion 23.

    Article  PubMed  CAS  Google Scholar 

  46. Verhagen RA, Struijs PA, Bossuyt PM, van Dijk CN. Systematic review of treatment strategies for osteochondral defects of the talar dome. Foot Ankle Clin 2003;8:233–242, viii-ix.

    Article  PubMed  Google Scholar 

  47. Frank A, Cohen P, Beaufils P, Lamare J. Arthroscopic treatment of osteochondral lesions of the talar dome. Arthroscopy 1989;5:57–61.

    Article  PubMed  CAS  Google Scholar 

  48. Baker CL Jr, Morales RW. Arthroscopic treatment of transchondral talar dome fractures: a longterm follow-up study. Arthroscopy 1999; 15:197–202.

    Article  PubMed  Google Scholar 

  49. Ogilvie-Harris DJ, Sarrosa EA. Arthroscopic treatment of osteochondritis dissecans of the talus. Arthroscopy 1999;15:805–808.

    Article  PubMed  CAS  Google Scholar 

  50. Kelberine F, Frank A. Arthroscopic treatment of osteochondral lesions of the talar dome: a retrospective study of 48 cases. Arthroscopy 1999;15:77–84.

    Article  PubMed  CAS  Google Scholar 

  51. Ogilvie-Harris DJ, Sarrosa EA. Arthroscopic treatment after previous failed open surgery for osteochondritis dissecans of the talus. Arthroscopy 1999;15:809–812.

    Article  PubMed  CAS  Google Scholar 

  52. Buckwalter JA, Mow VC, Ratcliffe A. Restoration of Injured or Degenerated Articular Cartilage. J Am Acad Orthop Surg 1994;2:192–201.

    PubMed  Google Scholar 

  53. O’Farrell TA, Costello BG. Osteochondritis dissecans of the talus. The late results of surgical treatment. J Bone Joint Surg Br 1982;64:494–497.

    PubMed  CAS  Google Scholar 

  54. Nash WC, Baker CL, Jr. Transchondral talar dome fractures: not just a sprained ankle. South Med J 1984;77:560–564.

    Article  PubMed  CAS  Google Scholar 

  55. Alexander AH, Lichtman DM. Surgical treatment of transchondral talar-dome fractures (osteochondritis dissecans). Long-term follow-up. J Bone Joint Surg Am 1980;62:646–652.

    PubMed  CAS  Google Scholar 

  56. Angermann P, Jensen P. Osteochondritis dissecans of the talus: long-term results of surgical treatment. Foot Ankle 1989; 10:161–163.

    PubMed  CAS  Google Scholar 

  57. Schuman L, Struijs PA, van Dijk CN. Arthroscopic treatment for osteochondral defects of the talus. Results at follow-up at 2 to 11 yr. J Bone Joint Surg Br 2002;84:364–368.

    Article  PubMed  CAS  Google Scholar 

  58. Kumai T, Takakura Y, Higashiyama I, Tamai S. Arthroscopic drilling for the treatment of osteochondral lesions of the talus. J Bone Joint Surg Am 1999;81:1229–1235.

    PubMed  CAS  Google Scholar 

  59. Barnes CJ, Ferkel RD. Arthroscopic debridement and drilling of osteochondral lesions of the talus. Foot Ankle Clin 2003;8:243–257.

    Article  PubMed  Google Scholar 

  60. Tucker TJ, Ferkel RD. Arthroscopic-assisted management of ankle fractures. In: McGinty JB, ed. Operative Arthroscopy. Philadelphia: Lippincott Williams and Wilkins; 2003:908–923.

    Google Scholar 

  61. Taranow WS, Bisignani GA, Towers JD, Conti SF. Retrograde drilling of osteochondral lesions of the medial talar dome. Foot Ankle Int 1999;20:474–480.

    PubMed  CAS  Google Scholar 

  62. Kolker D, Murray M, Wilson M. Osteochondral defects of the talus treated with autologous bone grafting. J Bone Joint Surg Br 2004;86:521–526.

    PubMed  CAS  Google Scholar 

  63. Angermann P, Riegels-Nielsen P. Fibrin fixation of osteochondral talar fracture. Acta Orthop Scand 1990;61:551–553.

    Article  PubMed  CAS  Google Scholar 

  64. Tasto JP, Ostrander R, Bugbee W, Brage M. The diagnosis and management of osteochondral lesions of the talus: osteochondral allograft update. Paper presented at: Arthroscopy Association of North America; Feb., 2004; Orlando, Florida.

    Google Scholar 

  65. Tontz WL Jr, Bugbee WD, Brage ME. Use of allografts in the management of ankle arthritis. Foot Ankle Clin 2003;8:361–373, xi.

    Article  PubMed  Google Scholar 

  66. Rodrigo JJ, Thompson E, Travis C. Deep-freezing vs 4∘ preservation of avascular osteocartilaginous shell allografts in rats. Clin Orthop 1987:268–275.

    Google Scholar 

  67. Stevenson S, Dannucci GA, Sharkey NA, Pool RR. The fate of articular cartilage after transplantation of fresh and cryopreserved tissue-antigen-matched and mismatched osteochondral allografts in dogs. J Bone Joint Surg Am 1989;71:1297–1307.

    PubMed  CAS  Google Scholar 

  68. Csonge L, Bravo D, Newman-Gage H, et al. Banking of osteochondral allografts, part II. Preservation of chondrocyte viability during long-term storage. Cell Tissue Bank 2002;3: 161–168.

    Article  PubMed  Google Scholar 

  69. Gross AE, Agnidis Z, Hutchison CR. Osteochondral defects of the talus treated with fresh osteochondral allograft transplantation. Foot Ankle Int 2001;22:385–391.

    PubMed  CAS  Google Scholar 

  70. Matsusue Y, Yamamuro T, Hama H. Arthroscopic multiple osteochondral transplantation to the chondral defect in the knee associated with anterior cruciate ligament disruption. Arthroscopy 1993;9:318–321.

    Article  PubMed  CAS  Google Scholar 

  71. Giannini S, Vannini F. Operative treatment of osteochondral lesions of the talar dome: current concepts review. Foot Ankle Int 2004;25:168–175.

    PubMed  Google Scholar 

  72. Sammarco GJ, Makwana NK. Treatment of talar osteochondral lesions using local osteochondral graft. Foot Ankle Int 2002;23:693–698.

    PubMed  Google Scholar 

  73. Hangody L, Kish G, Modis L, et al. Mosaicplasty for the treatment of osteochondritis dissecans of the talus: 2-to 7-yr results in 36 patients. Foot Ankle Int 2001;22:552–558.

    PubMed  CAS  Google Scholar 

  74. Gautier E, Kolker D, Jakob RP. Treatment of cartilage defects of the talus by autologous osteochondral grafts. J Bone Joint Surg Br 2002;84:237–244.

    Article  PubMed  CAS  Google Scholar 

  75. Treppo S, Koepp H, Quan EC, Cole AA, Kuettner KE, Grodzinsky AJ. Comparison of biomechanical and biochemical properties of cartilage from human knee and ankle pairs. J Orthop Res 2000; 18:739–748.

    Article  PubMed  CAS  Google Scholar 

  76. Choung D, Christensen JC. Mosaicplasty of the talus: a joint contact analysis in a cadaver model. J Foot Ankle Surg 2002;41:65–75.

    PubMed  Google Scholar 

  77. Hangody L, Kish G, Karpati Z, Szerb I, Eberhardt R. Treatment of osteochondritis dissecans of the talus: use of the mosaicplasty technique-a preliminary report. Foot Ankle Int 1997;18:628–634.

    PubMed  CAS  Google Scholar 

  78. Greenspoon J, Rosman M. Medial osteochondritis of the talus in children: review and new surgical management. J Pediatr Orthop 1987;7:705–708.

    PubMed  CAS  Google Scholar 

  79. Draper SD, Fallat LM. Autogenous bone grafting for the treatment of talar dome lesions. J Foot Ankle Surg 2000;39:15–23.

    PubMed  CAS  Google Scholar 

  80. Hangody L, Feczko P, Bartha L, Bodo G, Kish G. Mosaicplasty for the treatment of articular defects of the knee and ankle. Clin Orthop 2001:S328–S336.

    Google Scholar 

  81. Hangody L, Fules P. Autologous osteochondral mosaicplasty for the treatment of full-thickness defects of weight-bearing joints: 10 yr of experimental and clinical experience. J Bone Joint Surg Am 2003;85-A(suppl 2):25–32.

    PubMed  Google Scholar 

  82. Hangody L. The mosaicplasty technique for osteochondral lesions of the talus. Foot Ankle Clin 2003;8:259–273.

    Article  PubMed  Google Scholar 

  83. Scranton PE Jr, McDermott JE. Treatment of type V osteochondral lesions of the talus with ipsilateral knee osteochondral autografts. Foot Ankle Int 2001;22:380–384.

    PubMed  Google Scholar 

  84. Al-Shaikh RA, Chou LB, Mann JA, Dreeben SM, Prieskorn D. Autologous osteochondral grafting for talar cartilage defects. Foot Ankle Int 2002;23:381–389.

    PubMed  Google Scholar 

  85. Lee CH, Chao KH, Huang GS, Wu SS. Osteochondral autografts for osteochondritis dissecans of the talus. Foot Ankle Int 2003;24:815–822.

    PubMed  Google Scholar 

  86. Grande DA, Pitman MI, Peterson L, Menche D, Klein M. The repair of experimentally produced defects in rabbit articular cartilage by autologous chondrocyte transplantation. J Orthop Res 1989;7:208–218.

    Article  PubMed  CAS  Google Scholar 

  87. Breinan HA, Minas T, Hsu HP, Nehrer S, Sledge CB, Spector M. Effect of cultured autologous chondrocytes on repair of chondral defects in a canine model. J Bone Joint Surg Am 1997;79: 1439–1451.

    PubMed  CAS  Google Scholar 

  88. Minas T, Peterson L. Advanced techniques in autologous chondrocyte transplantation. Clin Sports Med 1999;18:13–44, v-vi.

    Article  PubMed  CAS  Google Scholar 

  89. Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L. Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 1994;331: 889–895.

    Article  PubMed  CAS  Google Scholar 

  90. Minas T, Chiu R. Autologous chondrocyte implantation. Am J Knee Surg 2000;13:41–50.

    PubMed  CAS  Google Scholar 

  91. Minas T. Autologous chondrocyte implantation for focal chondral defects of the knee. Clin Orthop 2001:S349–S361.

    Google Scholar 

  92. Peterson L, Minas T, Brittberg M, Lindahl A. Treatment of osteochondritis dissecans of the knee with autologous chondrocyte transplantation: results at 2 to 10 yr. J Bone Joint Surg Am 2003;85-A(suppl 2):17–24.

    PubMed  Google Scholar 

  93. Giannini S, Buda R, Grigolo B, Vannini F. Autologous chondrocyte transplantation in osteochondral lesions of the ankle joint. Foot Ankle Int 2001;22:513–517.

    PubMed  CAS  Google Scholar 

  94. Mandelbaum BR, Gerhardt MB, Peterson L. Autologous chondrocyte implantation of the talus. Arthroscopy 2003;19(suppl 1):129–137.

    Article  PubMed  Google Scholar 

  95. Sammarco GJ, Burstein AH, Frankel VH. Biomechanics of the ankle: a kinematic study. Orthop Clin North Am 1973;4:75–96.

    PubMed  CAS  Google Scholar 

  96. Giannini S, Buda R, Faldini C, et al. Surgical treatment of the osteochondral lesions of the talus (OLT) in young active patients. Paper presented at: American Academy of Orthopaedic Surgeons 72nd Annual Meeting; 2005; Washington, DC.

    Google Scholar 

  97. Giannini S, Vannini F, Buda R. Osteoarticular grafts in the treatment of OCD of the talus: mosaicplasty vs autologous chondrocyte transplantation. Foot Ankle Clin 2002;7:621–633.

    Article  PubMed  Google Scholar 

  98. Koulalis D, Schultz W, Heyden M. Autologous chondrocyte transplantation for osteochondritis dissecans of the talus. Clin Orthop 2002:186–192.

    Google Scholar 

  99. Frenkel SR, Toolan B, Menche D, Pitman MI, Pachence JM. Chondrocyte transplantation using a collagen bilayer matrix for cartilage repair. J Bone Joint Surg Br 1997;79:831–836.

    Article  PubMed  CAS  Google Scholar 

  100. Nehrer S, Breinan HA, Ramappa A, et al. Canine chondrocytes seeded in type I and type II collagen implants investigated in vitro. J Biomed Mater Res 1997;38:95–104.

    Article  PubMed  CAS  Google Scholar 

  101. Nehrer S, Breinan HA, Ramappa A, et al. Chondrocyte-seeded collagen matrices implanted in a chondral defect in a canine model. Biomaterials 1998;19:2313–2328.

    Article  PubMed  CAS  Google Scholar 

  102. Niederauer GG, Slivka MA, Leatherbury NC, et al. Evaluation of multiphase implants for repair of focal osteochondral defects in goats. Biomaterials 2000;21:2561–2574.

    Article  PubMed  CAS  Google Scholar 

  103. Minas T, Nehrer S. Current concepts in the treatment of articular cartilage defects. Orthopedics 1997;20:525–538.

    PubMed  CAS  Google Scholar 

  104. Ochi M, Uchio Y, Tobita M, Kuriwaka M. Current concepts in tissue engineering technique for repair of cartilage defect. Artif Organs 2001;25:172–179.

    Article  PubMed  CAS  Google Scholar 

  105. Ochi M, Uchio Y, Kawasaki K, Wakitani S, Iwasa J. Transplantation of cartilage-like tissue made by tissue engineering in the treatment of cartilage defects of the knee. J Bone Joint Surg Br 2002;84:571–578.

    Article  PubMed  CAS  Google Scholar 

  106. Schreiber RE, Ilten-Kirby BM, Dunkelman NS, et al. Repair of osteochondral defects with allogeneic tissue engineered cartilage implants. Clin Orthop 1999:S382–S395.

    Google Scholar 

  107. Agung M, Ochi M, Adachi N, Uchio Y, Takao M, Kawasaki K. Osteochondritis dissecans of the talus treated by the transplantation of tissue-engineered cartilage. Arthroscopy 2004;20:1075–1080.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Foot and Ankle Surgery, Hospital for Special Surgery, New York, NY

    Monika Volesky MD (Clinical Fellow) & Timothy Charlton MD (Clinical Fellow)

  2. Weill Medical College of Cornell University, New York, NY

    Jonathan T. Deland MD (Assistant Professor of Orthopaedic Surgery, Assistant Attending Orthopaedic Surgeon, Chief, Foot and Ankle Surgery)

  3. Hospital for Special Surgery, New York, NY

    Jonathan T. Deland MD (Assistant Professor of Orthopaedic Surgery, Assistant Attending Orthopaedic Surgeon, Chief, Foot and Ankle Surgery)

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  1. Monika Volesky MD
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  2. Timothy Charlton MD
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Editors and Affiliations

  1. Weill Medical College of Cornell University, USA

    Riley J. Williams III MD (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director) (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director)

  2. Institute for Cartilage Repair, Hospital for Special Surgery, New York, NY

    Riley J. Williams III MD (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director) (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director)

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Volesky, M., Charlton, T., Deland, J.T. (2007). Articular Cartilage Repair Strategies in the Ankle Joint. In: Williams, R.J. (eds) Cartilage Repair Strategies. Humana Press. https://doi.org/10.1007/978-1-59745-343-1_18

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  • DOI: https://doi.org/10.1007/978-1-59745-343-1_18

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