TECHNIQUEDistal Fibular Window Osteotomy for Exposure of Lateral Talar Osteochondral LesionsAllen, Scott D. MD; DiGiovanni, Christopher W. MDAuthor Information Brown University School of Medicine Providence, Rhode Island Address correspondence and reprint requests to Dr. Christopher W. DiGiovanni, Department of Orthopaedic Surgery, Brown University School of Medicine, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903; e-mail: [email protected] Techniques in Foot & Ankle Surgery: June 2003 - Volume 2 - Issue 2 - p 129-134 Buy Abstract Operative treatment of lateral and posterolateral osteochondral lesions of the talus remains a challenge due to anatomic limitations on surgical exposure. In this paper, we describe a technique popularized by Hansen 11 that allows access to the lateral aspect of the talus not readily exposed through a simple arthrotomy. Using an extraarticular fibular osteotomy window, the lateral aspect of the talus is readily visualized. The articular surface of the tibia and fibula are not violated, thus avoiding related potential long-term complications. The case presented in this paper involves the treatment of a lateral talar osteochondral lesion grafted with a single osteochondral autologous plug through this rollback fibular window osteotomy. © 2003 Lippincott Williams & Wilkins, Inc.