Traditionally, arthroscopic microfracture and autologous osteochondral autograft transplantation have been the primary surgical treat- ments for osteochondral lesions of the talus. On the other hand, recent advancements have introduced alternative app...
Traditionally, arthroscopic microfracture and autologous osteochondral autograft transplantation have been the primary surgical treat- ments for osteochondral lesions of the talus. On the other hand, recent advancements have introduced alternative approaches, such as autologous chondrocyte transplantation, matrix-derived autologous chondrocyte transplantation, intra-articular injection of concen- trated bone marrow aspirate concentrate, and the use of fibrin glue to address chondral defects. Furthermore, some studies have ex- plored a combination of bone marrow aspirate and matrix-derived chondrogenesis. In light of these developments, this report presents a case study of a young male patient in his early twenties with a relatively large osteochondral lesion exceeding 1.5 cm2 on the medial talar dome. Instead of removing the osteochondral lesion, a surgical approach was employed to retain the lesion while addressing the unstable cartilage in the affected area. This approach involved a combination of bone marrow aspirate concentrate and matrix-derived chondro- genesis. The treatment yielded favorable clinical outcomes and ultimately successfully induced the bony union of osteochondral lesions.
This paper reports the author’s experience with this innovative approach with a review of the relevant literature