J Korean Foot Ankle Soc.  2015 Jun;19(2):47-50. 10.14193/jkfas.2015.19.2.47.

Autologous Osteochondral Transplantation as a Secondary Procedure after Failed Microfracture for Osteochondral Lesion of Talus

• Bae SY

• KMID: 1794882
• DOI: http://doi.org/10.14193/jkfas.2015.19.2.47

Abstract

Microfracture procedure has been widely recognized as the primary surgical treatment for an osteochondral lesion of the talus. However, if symptoms persist after initial surgery, selection of a secondary procedure can be difficult. The author desciribes the advantage and value of autologous osteochondral transplantation as a secondary procedure after failed microfracture for osteochondral lesion with a review of sevral previous published articles.

Keyword

Talus; Osteochondral lesion of talus; Microfracture; Autologous osteochondral transplantation

MeSH Terms

Talus*

Figure

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  Figure 1. Increased fluid pressure (arrows) from the damaged cartilage (C) can make crack of subchondral bone plate (S) or interferes with the healing of plate.

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  Figure 2. When a load (arrows) is applied repeatedly, cystic lesion can be made by the pressure from the cartilage or the joint fluid. The cartilage (C) is depicted as a white layer and subchondral bone (S) as dotted area.

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  Figure 3. Autologous osteochondral transplantation was performed to replace the cartilage (C) and subchondral bone (S) for a failed case.

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