Osteochondral Defects of the Talar Dome
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Osteochondral defects in the talus are challenging to properly diagnose and treat. Nonoperative treatment is commonly the first-line treatment; however, frequently these injuries are treated surgically as they can remain symptomatic. There are several different surgical options, but the goals of surgery are the same regardless of the surgery chosen. There are three categories of surgical procedures for osteochondral defects: open reduction internal fixation, bone marrow stimulation, and transplantation/substitution. The location and character of the defect directs the choice of procedure.
KeywordsOsteochondral defect Talus Microfracture Open reduction internal fixation Abrasion Excision Transplantation Substitution Autologous chondrocyte implantation Juvenile chondrocytes Large bulk allograft
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