J Korean Foot Ankle Soc.  2015 Mar;19(1):7-10. 10.14193/jkfas.2015.19.1.7.

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

Affiliations
  • 1Surgery of Foot and Ankle, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea. jins33@hanmail.net

Abstract

Microfracture as a reparative strategy is the treatment of choice for an osteochondral lesion of talus. Although the results of microfracture are generally excellent, at least 30% of patients who received microfracture have acute or chronic ankle pain with several or unknown causes. The most important factor for unsatisfactory outcome after microfracture is the size of the lesion. For failed osteochondral lesion of talus, the second options are autologous osteochondral graft, autologous chondrocyte implantation, or re-microfracture. In this article, we present the autologous chondrocyte implantation as a second procedure for failed microfracture and compare its clinical outcome with other methods based on a literature review.

Keyword

Osteochondral lesion of talus; Microfracture; Autologous chondrocyte implantation

MeSH Terms

Ankle
Chondrocytes*
Humans
Talus*
Transplants

Figure

  • Figure 1. Our flowchart for treatment of failed osteochondral lesion of talus. OLT: osteochondral lesion of talus, POD: postoperative days, MRI: magnetic resonance image.


Cited by  1 articles

Supramalleolar Osteotomy Combined with Redo Arthroscopy for a Patient with Persistent Pain after Primary Arthroscopic Microfracture for Medial Osteochondral Lesion of the Talus: A Case Report
Tae Hun Song, Jin Soo Suh, Jun Young Choi
J Korean Foot Ankle Soc. 2023;27(2):71-74.    doi: 10.14193/jkfas.2023.27.2.71.


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