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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 4, 521-526.
doi: 10.1302/0301-620X.86B4.14033  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Osteochondral defects of the talus treated with autologous bone grafting

D. Kolker, MD, Foot and Ankle Fellow; M. Murray, MD, Instructor; and M. Wilson, MD, Chief of Foot and Ankle Service

Department of Orthopaedic Surgery, Brigham and Women’s Hospital, 1153 Centre Street, Boston 02130, Massachusetts, USA.

Correspondence should be sent to Dr D. Kolker at 86 Marlborough Street, Boston, Massachusetts 02116, USA.

We reviewed, retrospectively, 13 patients who had undergone open anterograde autologous bone grafting of the talus for symptomatic osteochondral defects of the dome of the talus. The mean age of the seven men and six women was 38.4 years. The defects included the full thickness of articular cartilage, extended through the subchondral plate and were associated with subchondral cysts. Six patients (46%) were clinical failures requiring further surgery. Of the remaining seven, functional outcome results were obtained at a mean of 51.9 months after surgery. The mean outcome scores for the Musculoskeletal Outcomes Data Evaluation and Management System foot and ankle questionnaire and the American Orthopaedic Foot and Ankle Society ankle-hindfoot scale were 87.0 and 84.3, respectively. There was an overall 46.2% patient satisfaction rate.

We believe that the technique of autologous bone grafting presented should be used with extreme caution, when considered as the primary treatment for the adult patient with a symptomatic advanced osteochondral defect of the talus.




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P. E. Scranton Jr, C. C. Frey, and K. S. Feder
Outcome of osteochondral autograft transplantation for type-V cystic osteochondral lesions of the talus
J Bone Joint Surg Br, May 1, 2006; 88-B(5): 614 - 619.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General