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Osteochondral Lesions of Talus

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Arthroscopic Techniques and Anatomy of the Foot and Ankle

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Abstract

Osteochondral lesions of the talus (OLT) can develop after acute or chronic ankle trauma and represent a challenging problem for both the patient and surgeon. Plain radiographs only detect a portion of these injuries. Advanced imaging with CT and/or MRI is required. While nonoperative treatment can be successful in selected cases, operative management is frequently required particularly for larger lesions. Numerous surgical treatment options exist. Arthroscopic bone marrow stimulation typically is reserved as a minimally invasive, cost-effective option for smaller primary lesions. Larger lesions, as well as those who have failed primary treatment, typically require replacement procedures via autograft or allograft transplantation, as well as scaffold-based techniques and other biological options. The development of cysts, the longevity of repair tissue, and long-term joint health remain concerns.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, University of Texas Medical Branch, Galveston, TX, USA

    Jie Chen

  2. Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China

    Yinghui Hua

  3. Orthopedic Surgery, Duke Medical Center, Durham, NC, USA

    Annunziato Amendola

  4. Department of Orthopedic Surgery, Comprehensive Foot and Ankle Center, Mercy Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Christopher D. Murawski

  5. Foot and Ankle Center of Excellence, Emergeortho, Blue Ridge Division, Asheville, NC, USA

    Peter Mangone

Authors
  1. Jie Chen
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  2. Yinghui Hua
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  3. Annunziato Amendola
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  4. Christopher D. Murawski
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  5. Peter Mangone
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Chen, J., Hua, Y., Amendola, A., Murawski, C.D., Mangone, P. (2022). Osteochondral Lesions of Talus. In: Arthroscopic Techniques and Anatomy of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-031-05190-6_5

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  • DOI: https://doi.org/10.1007/978-3-031-05190-6_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-05189-0

  • Online ISBN: 978-3-031-05190-6

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