Osteochondral lesions of the talus present a formidable treatment challenge to the orthopedic surgeon. This explains the multitude of treatment options described for this pathology. Currently, in the United States, surgical treatment options for symptomatic lesions are: debridement; marrow stimulation including drilling, microfracture, and abrasion arthroplasty; osteochondral autograft transfer; fresh osteochondral allograft transplantation; and the recently introduced technique of particulated juvenile cartilage allograft transplantation. The appropriate surgical therapy is based on patient and lesion-specific factors. This article will provide a brief review of these surgical therapies and the technique for particulated juvenile cartilage allograft transplantation.
*Foot and Ankle Surgery, Department of Orthopaedic Surgery, Union Memorial Hospital, Baltimore, MD
†Zimmer Orthobiologics, Inc., Austin, TX
The authors have no funding to disclose.
Address correspondence and reprint request to Lew C. Schon, MD, Foot and Ankle Surgery, Union Memorial Hospital, 3333 N. Calvert Street, Suite 400, Baltimore, MD 21218. e-mail: firstname.lastname@example.org.