Osteochondral lesions of the talar dome in children: A 24 (7-36) year follow-up of 13 cases

Arthroscopic Treatment of Chronic Osteochondral Lesions of the Talus

“…In contrast, other authors describe late osteoarthritis as an uncommon complication of OLT. 10,38,54 In 66% of patients in our study, there was no radiographic progression of arthritis. Thirty-four percent of the population had developed or progressed by one or more stages during the follow-up period.…”

“…The development of late osteoarthritis in patients with OLT treated conservatively or with surgical intervention also remains controversial. 10,16,17,38,54 Angermann and Jensen 4 reported the development of degenerative changes in 6% to 17% of the overall patient population. Canale and Belding 17 reported degenerative changes in more than 50% of their patients.…”

Clinical Outcomes of Mesenchymal Stem Cell Injection With Arthroscopic Treatment in Older Patients With Osteochondral Lesions of the Talus

“…20,54,60 The development of late osteoarthritis in patients with OLTs treated with surgical intervention remains controversial. 7,11,47,66 Angermann and Jensen 2 reported the development of degenerative changes in 6% to 17% of the overall patient population. Canale and Belding 13 reported degenerative changes in more than 50% of their patients.…”

“…In contrast, other authors described late osteoarthritis as an uncommon complication of OLTs. 7,47,66 Ferkel et al 20 reported that their long-term outcomes deteriorated with time in 35% of 50 cases. Although the exact reason for arthritic change is unknown, pre-existent degenerative changes and the lack of durability of fibrocartilage may have contributed to the deterioration of results.…”

Osteochondral lesions of the talar head – A case report, review of the literature, and novel surgical technique utilizing nano-arthroscopy and biologics

“…There are only ten published case reports on osteochondral lesions of the talar head. [1][2][3][4][5][6][7][8][9] While lesions of the talar dome have been shown to be more common in adolescents than adults and typically present with deep ankle pain, locking, swelling, and stiffness, [17][18][19] the most common presentation for talar head lesions is unknown with no studies evaluating for this. Similarly, various surgical interventions have been researched for the talar dome such as retrograde drilling, microfracture, grafting, fragment excision, autologous or matrix-induced chondrocyte implantation (AMIC and MACI), or an osteochondral autograft transfer system (OATS) procedure.…”