Abstract
➢ Osteochondral lesions of the talus remain difficult pathological entities to treat and require the utilization of a combination of conventional radiographs, computed tomographic scans, and magnetic resonance images to determine osseous involvement. Along with the size of the lesion, these characteristics will dictate the treatment required to obtain a satisfactory clinical result.➢ Operative treatment should be reserved for patients who have mechanical symptoms following an acute osteochondral lesion of the talus or who are not satisfied with the result after 3 to 6 months of nonoperative treatment.➢ The gold standard of operative treatment for lesions measuring <1.5 cm2 remains microfracture. Repair, replacement, or regenerative procedures should be considered for patients with refractory lesions or larger lesions.
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