Talar dome access for osteochondral lesions

The American Journal of Sports Medicine
Dawson MuirNed Amendola

Abstract

Recently, osteochondral grafting has become a popular procedure for treating challenging talar dome lesions. However, no guidelines exist for selection of the surgical approach to obtain perpendicular access to the talar dome. The majority of the talar dome can be accessed for perpendicular resurfacing procedures without need for osteotomy. Descriptive laboratory study. Nine human cadaveric ankles were dissected in a standard fashion to expose the talar dome. Seven approaches were used, including 4 arthrotomies (anteromedial, anterolateral, posteromedial, and posterolateral) and 3 osteotomies (anterolateral [Chaput], distal fibula, and medial malleolar). The area available for perpendicular access to the dome was determined for each approach. On average, 17% (range, 10%-24%) of the medial talar dome and 20% (range, 16%-25%) of the lateral talar dome could not be accessed without osteotomy. On the lateral aspect of the superior talar dome surface, an anterolateral osteotomy adds a mean of 22% to sagittal plane exposure. Malleolar osteotomies, when performed using the method described, provide access to the entire medial and lateral sides; however, there remains a mean residual 15% (range, 11%-38%) of the central talar dome that ...Continue Reading

References

Feb 1, 1978·Acta Orthopaedica Scandinavica·M Scharling
Nov 1, 1984·The American Journal of Sports Medicine·J P Thompson, R L Loomer
Sep 3, 1999·Foot & Ankle International·W S TaranowS F Conti
Oct 3, 1999·The Journal of Bone and Joint Surgery. American Volume·T KumaiS Tamai
Feb 5, 2000·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·S D Draper, L M Fallat
Feb 29, 2000·Foot & Ankle International·J L TolC N van Dijk
Oct 31, 2000·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·R W MendicinoN Krause
Jun 29, 2001·Foot & Ankle International·P E Scranton, J E McDermott
Jul 28, 2001·Foot & Ankle International·S GianniniF Vannini
Apr 2, 2002·The Journal of Bone and Joint Surgery. British Volume·E GautierR P Jakob
Nov 27, 2002·Foot & Ankle International·Yuki TochigiCharles Saltzman

❮ Previous
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Citations

Mar 8, 2008·Der Orthopäde·M Merian, M Easley
Apr 27, 2013·Der Orthopäde·A BargV Valderrabano
Apr 13, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Anthony WajsfiszPhilippe Beaufils
Apr 30, 2008·Foot & Ankle International·David N GarrasMark E Easley
Aug 3, 2016·Foot & Ankle International·Ross WodickaRichard Ferkel
Aug 10, 2012·The American Journal of Sports Medicine·Christiaan J A van BergenC Niek van Dijk
Jun 30, 2009·The American Journal of Sports Medicine·Padhraig F O'LoughlinJohn G Kennedy
Jun 28, 2012·Foot & Ankle International·Paul G PetersLew C Schon
Jun 28, 2012·Foot & Ankle International·Erin PrewittJeffery T Junko
Mar 17, 2010·Foot & Ankle International·Jeremy K RushJoseph Hsu
Jun 14, 2008·Foot & Ankle International·Kamil Cagri KoseIlhami Kuru
Sep 13, 2008·Foot & Ankle International·Eric M Bluman, Ivan J Antosh
Jan 14, 2010·Foot & Ankle International·Patrick J McGahan, Stephen J Pinney
Nov 26, 2008·Foot & Ankle International·Keun-Bae LeeEun-Kyoo Song
Jul 28, 2007·The American Journal of Sports Medicine·Amol Saxena, Colin Eakin
Nov 22, 2011·Foot & Ankle International·Massimiliano DragoniAnnunziato Amendola
Apr 11, 2018·Journal of Orthopaedic Trauma·Kevin D PhelpsJoseph R Hsu
Apr 10, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·André LeumannVictor Valderrabano
Jul 28, 2010·The Journal of Bone and Joint Surgery. American Volume·E'Stephan J GarciaBrett D Owens
Nov 22, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Christopher E GrossJames A Nunley
Jul 6, 2018·Current Reviews in Musculoskeletal Medicine·Colin WhitakerEmmanuel M Illical
Oct 5, 2010·The Journal of the American Academy of Orthopaedic Surgeons·Mark E EasleyJames A Nunley
Jul 19, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mellany GallaAlexej Barg
Jul 1, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yantarat SripanichAlexej Barg
Apr 13, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Takuji YokoeEtsuo Chosa
Jun 7, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·James M SteriovskiDaniel Logan
Sep 4, 2020·Foot & Ankle International·Bilgehan Tosun
Aug 14, 2021·Foot & Ankle International·Graham J DeKeyserAlexej Barg
Aug 14, 2021·Tzu Chi Medical Journal·Chen-Chie WangIng-Ho Chen
Aug 31, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Ali LeventAllan E W Rennie
Oct 14, 2021·The Journal of Bone and Joint Surgery. American Volume·Erik A MagnussonMichael F Githens
Sep 22, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Giovany PadiolleauUNKNOWN Francophone Arthroscopy Society (SFA)
Mar 17, 2021·Journal of Orthopaedic Trauma·Graham J DeKeyserAlexej Barg

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Methods Mentioned

BETA
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