Lift, Drill, Fill, and Fix (LDFF): A New Arthroscopic Treatment for Talar Osteochondral Defects

  • Jari Dahmen
  • J. Nienke Altink
  • Mikel L. Reilingh
  • Gino M. M. J. KerkhoffsEmail author


An osteochondral defect (OCD) to the talus is an injury of the talar articular cartilage and its subchondral bone. The injury can rigorously affect daily activities of patients leading to a deterioration of the quality of life. Despite substantial research having been conducted in the past number of decades, there is still no worldwide consensus on the optimal treatment protocol for primary and secondary symptomatic talar OCDs. In this chapter we present the historical perspective and we describe a novel arthroscopic internal fixation procedure for the treatment of talar OCDs, known as the “Lift, Drill, Fill, and Fix” (LDFF) technique.


Ankle Talus Osteochondral lesion Defect Arthroscopy Articular cartilage Fixation techniques Minimally invasive surgery LDFF 


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Copyright information

© ISAKOS 2019

Authors and Affiliations

  • Jari Dahmen
    • 1
    • 2
    • 3
  • J. Nienke Altink
    • 1
    • 2
    • 3
  • Mikel L. Reilingh
    • 1
    • 2
    • 3
  • Gino M. M. J. Kerkhoffs
    • 1
    • 2
    • 3
    Email author
  1. 1.Amsterdam UMC, University of Amsterdam, Department of Orthopaedic SurgeryAmsterdam Movement SciencesAmsterdamThe Netherlands
  2. 2.Academic Center for Evidence based Sports medicine (ACES)AmsterdamThe Netherlands
  3. 3.Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center Amsterdam UMCAmsterdamThe Netherlands

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