Osteochondrale Läsionen des Talus: Individualisiertes Vorgehen mithilfe etablierter und innovativer Rekonstruktionsverfahren

Translated title of the contribution: Osteochondral lesions of the talus: Individualized approach based on established and innovative reconstruction techniques

Christian David Weber*, Gino Kerkhoffs, Jari Dahmen, Dariush Arbab, Philipp Kobbe, Frank Hildebrand, Philipp Lichte

*Corresponding author for this work

Research output: Contribution to journalArticleProfessional

Abstract

Osteochondral lesions (OCL) of the talus are defined as chondral damage with subchondral involvement. The traumatic etiology is important; in particular, sprains and fractures can lead to lesions of the articular surface and the subchondral plate. As a result, unstable lesions and subchondral cysts can trigger substantial persistent pain and functional impairments. A primary conservative treatment can be considered and is especially recommended in children and adolescents; however, return to previous sports activity and level is often not achieved. The principles of reconstructive surgical management include internal fixation of osteochondral fragments, bone marrow stimulation, autologous membrane-augmented chondrogenesis ± bone grafting, osteochondral transfer, retrograde techniques ± bone grafting, (matrix-associated) autologous chondrocyte implantation and autologous osteoperiosteal graft from the iliac crest. Additional surgical procedures for ankle stabilization and deformity correction should be considered if necessary.
Translated title of the contributionOsteochondral lesions of the talus: Individualized approach based on established and innovative reconstruction techniques
Original languageGerman
Pages (from-to)319-332
Number of pages14
JournalUnfallchirurg
Volume124
Issue number4
Early online date2021
DOIs
Publication statusPublished - Apr 2021

Cite this