Volume: 43 Issue: 2
Year: 2023, Page: 797-800, Doi: https://doi.org/10.51248/.v43i02.2551
Osteochondral lesions of the talus (OLT) involve the chondral and subchondral region typically. Most are secondary to trauma. The patients present with pain, stiffness, swelling. Diagnosis is made typically by clinical and radiological correlation. Treatment strategies employed can be conservative or surgical. This case report is of a 24-year-old male, who presented with pain on the right ankle ,for a chronic period following trauma. The patient was diagnosed with OLT and underwent surgical treatment (Right medial malleolus osteotomy +curettage of right talus + bone grafting + reconstruction of the medial malleolus). This case study is aimed at understanding the various treatment strategies for OLT, both surgical and non-surgical and thus arriving at a conclusion. Treatment of osteochondral lesions is mainly by early screening in high-risk patients (trauma). Although outcomes are favorable in most of the cases, treatment should be individualized to every patient with adequate counseling of outcomes and complications
Keywords: OLT- Osteochondral lesions of the talus; bone marrow stimulation; malleolar osteotomy
1. Zengerink M., Struijs P.A., Tol, J.L., VanDijk, C.N. Treatment of osteochondral lesions of the talus: A systematic review. Knee Surg Sports Traumatol Arthrosc. 2010;18:238-246.
2. Steele, J.R., Dekker, T.J., Federer, A.E., Liles, J.L., Adams S.B., Easley, M.E. Osteochondral lesions of the talus: Current concepts in diagnosis and treatment. Foot Ankle Orthop. 2018;3:247301141877955.
3. Monroe, A. Part of the cartilage of the joint separated and ossified. Med Essays Obs. 1738;4:305.
4. Kappis, M. Weitere beitrage zur traumatisch-mechanischen entstehung der “spontanen” knorpelablosungen (sogen osteochrondritis dissecans) Dtsch Z Chir. 1922;171:13-29.
5. Berndt, A.L., Harty, M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 2004; 86:1336.
6. Laffenetre, O. Osteochondral lesions of the talus: Current concept. Orthop Traumatol Surg Res. 2010;96:554-566.
7. Tol, J.L., Struijs, P.A., Bossuyt, P.M., Verhagen, R.A., Van Dijk, C.N. Treatment strategies in osteochondral defects of the talar dome: A systematic review. Foot Ankle Int. 2000;21:119-126.
8. Shepherd, D.E., Seedhom, B.B. Thickness of human articular cartilage in joints of the lower limb. Ann Rheum Dis. 1999;58:27-34.
9. Lomax, A., Miller, R.J., Fogg, Q.A, Jane, M. N., Senthil Kumar, C. Quantitative assessment of the subchondral vascularity of the talar dome: A cadaveric study. Foot Ankle Surg. 2014;20:57-60.
10. Loomer, R., Fisher, C., Lloyd-Smith R., Sisler, J., Cooney, T. Osteochondral lesions of the talus. Am J Sports Med. 1993; 21(1):13-19.
11. Canale, S.T., Belding, R.H. Osteochondral lesions of the talus. J Bone Joint Surg [Am] 1980; 62-A: 97-102.
12. Bruns, J., Rosenbach, B., Kahrs, J. Etiopathogenetic aspects of medial osteochondrosis dissecans tali. Sportverletz Sportschaden. 1992;6:43-49.
13. Sundararajan, S.R., D’Souza, T.D., Rajagopalakrishnan, R., Rajasekaran, S. Osteochondral lesions of the talus-current concepts. J. Arthrosc Surg Sports med 2020; 1(2):218-225.
Parishekh Jawahar, P. Gopinath Menon, T. R. Ashok, Sitsabesan Chokkalingam, S. Srijay Sashaank. Osteochondral lesion of the talus: presentation and management - A case report. Biomedicine: 2023; 43(2): 797-800