Topical Review Osteochondral Lesions of the Talus: Current Concepts in Diagnosis and Treatment John R. Steele, MD1, Travis J. Dekker, MD1, Andrew E. Federer, MD1, Jordan L. Liles, MD1, Samuel B. Adams, MD1, and Mark E. Easley, MD1 Abstract Osteochondral lesions of the talus (OLTs) are a difficult pathologic entity to treat. The critical size of lesion that dictates whether replacement or repair is the best long-term treatment is yet to be determined. Clinicians have used variety of terms to describe these injuries, including osteochondritis dissecans, osteochondral defect or osteochondral fracture. Series shows the case of a 25-years-old man, a sports and physically active patient, with chronic ankle pain, a lateral talus osteochondral lesion (OCL), and chronic ankle instability. Symptoms related to this condition are nonspecific including pain, swelling, stiffness, and mechanical symptoms of locking and catching. Fig. (2)Fundación Favaloro University Hospital, Buenos Aires, Argentina. for OCD of the talus. FIGURE 71-1 Osteochondral lesion of the talus. Yañez Arauz JM(1), Del Vecchio JJ(2), Bilbao F(3), Raimondi N(4). The most common sites are the posteromedial (53%) ( Fig. (3)Italiano Hospital, Buenos Aires, Argentina. Purpose: The purpose of this study was to compare outcomes of chondroplasty versus microfracture versus osteochondral autologous transplantation (OAT) in patients with osteochondral lesions of the talus (OLT).Methods: After prospective sample size analysis, patients with symptomatic, recalcitrant Ferkel class 2b, 3, and 4 OLT were randomized to chondroplasty, microfracture, or OAT treatment … Author information: (1)Austral Universitiy Hospital, Buenos Aires, Argentina. Upon completion of the recipient site preparation, osteochondral grafts are harvested from the … incidence 69% of ankle fractures; 70% of ankle sprains; 10% are bilateral Lesions greater than 8 mm that are more cystic and cases where … Keywords Ankle Osteochondral lesion Defect Talus Systematic review Arthroscopy Introduction Symptomatic osteochondral ankle defects often require surgical treatment. A variety of terms have been used to refer to this clinical entity, including osteochondritis dissecans (OCD), osteochondral fracture and osteochondral defect. https://www.footankleinstitute.com/reating-osteochondral-lesions-of-the-talus Osteochondral defect of the anterolateral talar dome after treatment with two osteochondral autografts (arrows), measuring 6.5 and 4.5 mm in diameter, harvested from the knee. 1 ) and anterolateral (46%) talar dome ( 1 ). 1 We can describe lesions as a cartilage defect, bone cyst or subchondral bone cyst. Osteochondral lesion of the talus (OLT) is a common condition associated with ankle injury that brings challenges in the diagnosis and treatment. Most classification systems are based on lesion descriptions by Berndt and Harty ( 2 ): The talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. 6.1. Osteochondral lesion of the talus (OLT) is a broad term used to describe an injury or abnormality of the talar articular cartilage and adjacent bone. focal injuries to the talar dome with variable involvement of the subchondral bone and cartilage resulting in osteochondral lesion of the talus (OLT) may be caused by traumatic event or result of repetitive microtrauma; Epidemiology . The broad term “osteochondral lesion of the talus” describes an injury or abnormality of the talar articular cartilage and adjacent bone. Radiographs showed a suspicious area on the lateral talar dome. Management of Cystic Osteochondral Lesions of the Talus. 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