Osteochondral Lesion of the Talus Repair in Young Female
FOOT & ANKLE SURGERY PHOTOS AND VIDEOS
19 yo falls off rope swing
1 year later still in pain….
Advanced imaging to eval quality of lesion
….Original ER plain film shows OLT
My rules for favoring open allograft vs scope microfracture are:
- Talar shoulder lesions
- Full thickness delamination apparent on MR
- 11-12mm +
- Depth is of concern
Patient also received direct ATF ligament repair with Fibertak suture anchors.
I like BioCartilage as it is half the cost of De Novo, BMAC included. You get the best of both worlds – host cells, and graft. It has been proven to have favorable MOCART scores, and robust thickness as compared to fibrocartilage, when looked at up to 19 months post-op.