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Medial Malleolar Osteotomy Fresh Osteochondral Allograft

Video Author: Michael A. Zacchilli, MD
Published on: 08.29.2018
Associated with: JAAOS - Journal of the American Academy of Orthopaedic Surgeons. 26(16):585, August 15, 2018

Osteochondral allograft implantation has emerged as a promising treatment option for large osteochondral lesions of the talus (OLTs) because it provides both structural support as well as self-sustaining, viable chondrocytes. However, adequate access to the talar dome is critical for allograft implantation. Medial malleolar osteotomy has emerged as a reliable and safe method for exposure of the talar dome and shoulder region. We demonstrate a technique for fresh osteochondral allograft implantation of a large OLT through a medial malleolar osteotomy. Implantation often requires adequate exposure afforded by a medial malleolar osteotomy. Results are contingent on careful and consistent technique.

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Duration: 0:25
Osteochondral allograft implantation has emerged as a promising treatment option for large osteochondral lesions of the talus (OLTs) because it provides both structural support as well as self-sustaining, viable chondrocytes. However, adequate access to the talar dome is critical for allograft implantation. Medial malleolar osteotomy has emerged as a reliable and safe method for exposure of the talar dome and shoulder region. We demonstrate a technique for fresh osteochondral allograft implantation of a large OLT through a medial malleolar osteotomy. Implantation often requires adequate exposure afforded by a medial malleolar osteotomy. Results are contingent on careful and consistent technique.
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Duration: 0:25
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Duration: 0:27
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