Abstract
For operative treatment of talar osteochondral defects (OCD), several surgical treatment options are available [ 14 ]. Each surgical technique has its specifi c indication [ 11 ]. Debridement and bone marrow stimulation is the first treatment of choice in primary defects <15 mm in diameter. Large cystic lesions can be treated by retrograde drilling. Fixation is for large lesions, most often posttraumatic. Secondary treatment options are osteochondral autograft transfer (OATS), HemiCAP, and autologous chondrocyte implantation (ACI). In case of malalignment, a sliding calcaneal osteotomy can be indicated. For each treatment, a careful preoperative planning is needed.
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van Eekeren, I.C.M., Kievit, A.J., van Dijk, C.N. (2014). Preoperative Planning for Osteochondral Defects. In: van Dijk, C., Kennedy, J. (eds) Talar Osteochondral Defects. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45097-6_6
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