Case Reports   |    
Treatment of Osteochondral Lesions of the Talus with a Biosynthetic ScaffoldA Report of Four Cases
E'Stephan J. Garcia, MD1; Russell R. Bear, DO1; Andrew J. Schoenfeld, MD1; Brett D. Owens, MD2
1 Department of Orthopaedic Surgery, William Beaumont Army Medical Center, Texas Tech University Health Sciences Center, 5005 North Piedras Street, El Paso, TX 79920. E-mail address for E.J. Garcia: estephan.garcia@amedd.army.mil
2 Department of Orthopaedic Surgery, Keller Army Community Hospital, 900 Washington Road, West Point, NY 10996-1197
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at William Beaumont Army Medical Center, Texas Tech University Health Sciences Center, El Paso, Texas
Disclaimer: The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Department of Defense or United States government. The authors are employees of the U.S. government. No funding was received for this study.

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Jul 21;92(8):1774-1779. doi: 10.2106/JBJS.I.01470
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


The management of recurrent and large cystic osteochondral lesions of the talus presents a challenge to orthopaedic surgeons. Although numerous treatment options are available, few publications exist that provide guidance regarding management. The initial management of stage-I and stage-II lesions1,2 is typically nonoperative. However, for persistent or advanced talar lesions, surgical intervention is common3-5. Surgical options traditionally include arthroscopic debridement with or without microfracture, internal fixation of larger fragments, or retrograde drilling with bone-grafting. When initial surgical management has failed or when larger lesions are present, patients may be treated with an osteoarticular transfer system, mosaicplasty, bulk allograft, or autologous chondrocyte implantation6.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    New York - Icahn School of Medicine at Mount Sinai
    Connecticut - Yale University School of Medicine