Articular cartilage damage is a frequently encountered medical problem. Articular cartilage injury can be caused by direct trauma, indirect trauma, or the consequences of metabolic diseases. The makeup of cartilage is such that, when a lesion occurs and is limited to the cartilage tissue itself, it fails to heal spontaneously.
Osteochondral lesions of the talus (OLT) are rare joint disorders. The talus is the third most common location of this entity and represents the location for 4% of all osteochondral lesions in the body. The management of osteochondral injuries to the talus is challenging because of the limited healing potential of articular cartilage. Large osteochondral lesions of the talus (greater than 1 cm) augment the risk for the development of osteoarthritis of the ankle and this has prompted a keen interest in techniques of cartilage repair.
Presented in this issue is a case of a large, symptomatic osteochondral lesion of the talus in a 26 year old male. Let’s see what experts from around the country would do with this type of problem.
Michael E. Brage, MD
Assistant Professor in Orthopaedic Surgery, Chief of Foot and Ankle Surgery, University of California San Diego, San Diego, California