Treatment of Osteochondral Lesions of the Talus: An Evidence-based Opinionated Review

Guang Ting Cong, Karthikeyan Chinnakkannu, Vignesh P. Krishnamoorthy, Luca Di Lenarda, Christopher M. Mikhail, Ettore Vulcano

Research output: Contribution to journalReview articlepeer-review


Osteochondral lesions of the talus (OLTs) are a much-discussed topic in foot and ankle surgery due to their refractive nature to therapy. OLTs include fractures of the talar osteochondral surface from acute trauma or chronic repetitive injury, and their chronic subset in young patients conventionally referred to as osteochondritis dessicans. OLTs do not tend to heal well, and their treatments remain only moderately successful without an obvious superior method. The purpose of this review is to summarize the treatment of OLTs using current available literature and provide an opinionated preferred treatment algorithm.Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.

Original languageEnglish
Pages (from-to)197-204
Number of pages8
JournalTechniques in Foot and Ankle Surgery
Issue number4
StatePublished - Dec 2020


  • OCD
  • OCL
  • OLT
  • osteochondral
  • talus


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