Special FocusTreatment of Osteochondral Lesions of the Talus: An Evidence-based Opinionated ReviewCong, Guang-Ting MD; Chinnakkannu, Karthikeyan MD; Krishnamoorthy, Vignesh P. MD; Di Lenarda, Luca BS; Mikhail, Christopher M. MD; Vulcano, Ettore MDAuthor Information Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY The authors declare no conflict of interest. Address correspondence and reprint requests to Ettore Vulcano, MD, Mount Sinai West, 425 West 59th Street, 5th Floor, New York, NY 10019. E-mail: [email protected]. Techniques in Foot & Ankle Surgery: December 2020 - Volume 19 - Issue 4 - p 197-204 doi: 10.1097/BTF.0000000000000275 Buy Metrics Abstract Osteochondral lesions of the talus (OLTs) are a much-discussed topic in foot and ankle surgery due to their refractive nature to therapy. OLTs include fractures of the talar osteochondral surface from acute trauma or chronic repetitive injury, and their chronic subset in young patients conventionally referred to as osteochondritis dessicans. OLTs do not tend to heal well, and their treatments remain only moderately successful without an obvious superior method. The purpose of this review is to summarize the treatment of OLTs using current available literature and provide an opinionated preferred treatment algorithm. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.