Autogenous bone grafting for the treatment of talar dome lesions

Treatment of osteochondral defects of the talus

“…In these cases, a cancellous bone graft may be placed in the defect aft er debridement. 109,149,343 Retrograde drilling, combined with cancellous bone graft ing if necessary, may be performed if there is a (large) subchondral cyst with intact cartilage. 228,381 Alternatively, the cancellous bone graft may be placed underneath the cartilage fl ap aft er debridement of the subchondral bone.…”

“…228,381 Alternatively, the cancellous bone graft may be placed underneath the cartilage fl ap aft er debridement of the subchondral bone. 109 A cancellous bone graft is harvested from the ipsilateral iliac crest or locally from the distal tibial metaphysic. 224 Possible drawbacks of this procedure are the limited availability and pain at the donor site.…”

Fluoroscopy-guided retrograde core drilling and cancellous bone grafting in osteochondral defects of the talus

“…This can be achieved by anterograde drilling, microfracturing, cancellous bone grafting or osteochondral plugs depending on the local cartilage condition. In principal, these techniques are restricted to unstable lesions and cracked cartilage surfaces [1][2][3][4][5].…”

Treatment of Osteochondral Lesions of the Talus in Athletes

“…하지만 주된 원인은 급성 발목 손상이며 많은 연구를 통하여 거골의 골연골 병변은 발목 골절이나 염좌가 발생하였을 경우 50% 이상에서 동반된다고 보고되고 있다 2,4,5) . 또한, 거골의 연골 손상의 23% 는 외측 만성 발목 불안정과 연관이 있어 인대 재건술을 시행한 후에도 지속적인 통증의 원인이 될 수 있다 6) .…”