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Failed OCL Talus/Revision OLT

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Revision Surgery of the Foot and Ankle

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Abstract

Osteochondral lesions of the talus (OLT) represent 4% of cartilage lesions in the body. These lesions often require multiple surgeries to improve patient’s quality of life. The etiology of the OLTs is still being elucidated, with known causes such as acute trauma, ankle sprains or fractures, repetitive stress, local ischemia, and even genetic causes with identical lesions found in twins. The pathogenesis can involve direct trauma to the talar articular cartilage which can lead to subchondral edema and eventually cystic changes. The other mechanism in cases of non-traumatic OLTs involves subchondral bone injury or avascular event which precipitates softening of the overlying cartilage and eventual separation of the fragment. These defects continue to challenge surgeons treating patients with this pathology.

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Author information

Authors and Affiliations

  1. University of California at Davis, Department of Orthopaedics, Sacramento, CA, USA

    Karim Boukhemis, Eric Giza & Christopher D. Kreulen

Authors
  1. Karim Boukhemis
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  2. Eric Giza
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  3. Christopher D. Kreulen
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Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH, USA

    Mark J. Berkowitz

  2. Florida Orthopaedic Institute, Temple Terrace, FL, USA

    Michael P. Clare

  3. Department of Orthopedic Surgery, Oakland University William Beaumont, Royal Oak, MI, USA

    Paul T. Fortin

  4. Medstar Union Memorial Hospital, Baltimore, MD, USA

    Lew C. Schon

  5. Florida Orthopedic Institute, Temple Terrace, FL, USA

    Roy W. Sanders

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Boukhemis, K., Giza, E., Kreulen, C.D. (2020). Failed OCL Talus/Revision OLT. In: Berkowitz, M., Clare, M., Fortin, P., Schon, L., Sanders, R. (eds) Revision Surgery of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-030-29969-9_12

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  • DOI: https://doi.org/10.1007/978-3-030-29969-9_12

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-29969-9

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