2021 Annual Meeting Foot & Ankle Access Pass-State of the Art OLT

Video Transcription

Video Summary

In this video, the speaker discusses the treatment of osteochondral lesions of the talar dome. They explain that the literature on this topic lacks strong evidence and methodological quality. Therefore, consensus-based expert opinion can guide treatment decisions. The speaker mentions a consensus meeting in 2017 where leaders in the field discussed the treatment approach for these lesions. Factors that should guide treatment decisions include lesion size, location, and containment. The speaker presents various treatment options such as microfracture, osteoarticular autografting, and chondrocyte implantation. They also discuss other emerging options such as juvenile articular cartilage and micronized articular cartilage. The ideal treatment approach depends on the size and characteristics of the lesion. The speaker suggests considering microfracture for small lesions, while larger lesions may require other alternatives such as OATs or bulk allografting.

Asset Caption

Dr. James Stone

Keywords

osteochondral lesions

talar dome

treatment

consensus-based expert opinion

lesion size