More Options for Large Talar Osteochondral Lesions

The authors are more enthused than we are, but you can't have too many options for this tough diagnosis.

What’s the Claim?

A press-fit composite (bone + periosteum) autograft from the iliac crest was used in a prospective case series to treat large, medial osteochondral talar lesions. At two years:

  • 98% (43 of 44) were still intact, and one was converted to an ankle fusion
  • Pain scores improved substantially but, importantly, pain did not go away; the median pain score with walking went from 7 to 2 (out of 10), and pain with running improved from 9 to 4.
  • Foot and Ankle Outcome Scores likewise improved substantially (but, again, patients did not generally become asymptomatic), and all grafts healed.