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Arthroscopically Assisted Particulated Juvenile Allograft Cartilage Implantation and Bone Grafting for Treatment of Large Cystic Osteochondral Lesions of the Talus: A Case Series by Kshitij Manchanda; Joseph E. Manzi; Cary B. Chapman is a Medicine article available to read on EtoBox.

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## Category: Ankle; Arthroscopy; Basic Sciences/Biologics; Sports; Trauma ## Introduction/Purpose: Osteochondral lesions of the talus (OCLT) are common traumatic injuries and can be difficult to treat. Conventional methods consist of arthroscopic debridement and bone marrow stimulation techniques including microfracture, curettage, abrasion chondroplasty and antegrade/retrograde drilling predominantly leading to fibrocartilage formation. These methods have proved effective for small lesions; however, larger lesions with accompanying subchondral bone cysts require more invasive treatment with osteochondral allografts or autologous chondrocyte implantation. These procedures can require harvesting of osteochondral grafts from the knee or malleolar osteotomies, which have associated donor site morbidities and complications of osteotomy healing. We describe an alternative method, an all-arthroscopic technique to treat these large cystic OCLTs, and sought to determine long-term quality of life metrics for a cohort of patients. ## Methods: From 2010-2012, six patients with difficult to treat OCLTs underwent arthroscopic-assisted implantation of particulated juvenile allograft cartilage wi

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Author

Kshitij Manchanda; Joseph E. Manzi; Cary B. Chapman

Publisher

SAGE Publications

Published

2022

Language

EN

Field

Medicine (Health Sciences)