Learning Objectives of this Pathway:
- Describe the role of OCD morphology for decision making and surgical approach
- Describe various treatment options for OCDs
- Understand the role and limitations of ankle arthroscopy in management of OCDs
- Describe the arthroscopic OCD classification and clinical relevance in surgical decision making
- Describe the difference of non-tissue vs. tissue transplantation procedures
- Describe advantages and disadvantages utilizing arthroscopy vs. open arthrotomy
Day 1: Morphology and Decision Making
Clinical Sessions:
- Does Size Matter: What the Evidence Really Suggests
- Location, Location, Location: Outcomes Based on Location
Podcasts:
Osteochondral Lesions of the Talar Dome
E-Book Chapters:
Trauma eBook
Ch 9: Osteochondral Fractures and Injuries of the Talus
Outside Journal Articles:
- Subchondral Pathology: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle
- Osteochondral Lesions of the Talus: Predictors of Clinical Outcome
- Return to Sports After Surgical Treatment of Osteochondral Defects of the Talus: A Systematic Review of 2347 Cases
Day 2: Role of Arthroscopy & Microfracture
Clinical Sessions:
Surgical Techniques:
Arthroscopic Microfracture of OLTs
Podcasts:
None
E-Book Chapters:
Arthroscopy eBook
Ch 6: Arthroscopic Treatments of Ankle Osteochondral Lesions
JFAS Articles:
- Arthroscopic Bone Grafting of Talar Bone Cyst Using Posterior Ankle Arthroscopy
- Arthroscopic Treatment of Osteochondral Lesions of the Talus Utilizing Juvenile Particulated Cartilage Allograft: A Case Series
- Arthroscopic Treatment of Osteochondral Lesions of the Talus Using Juvenile Articular Cartilage Allograft and Autologous Bone Marrow Aspirate Concentration
- Fixation of a Posteromedial Osteochondral Lesion of the Talus Using a Three-Portal Posterior Arthroscopic Technique
Day 3: OATs & Allografts
Surgical Techniques:
Treatment of Osteochondral Defects
Podcasts:
None
E-Book Chapters:
None
Journal Articles:
- Osteochondral Allograft Transplantation Surgery for Osteochondral Lesions of the Talus in Athletes
- Vascularized Medial Femoral Condyle Autografts for Osteochondral Lesions of the Talus: A Preliminary Prospective Randomized Controlled Trial
- Complications of En Bloc Osteochondral Talar Allografts and Treatment of Failures: Literature Review and Case Report
Outside Journal Articles:
The Role of Demineralized Allograft Subchondral Bone in the Treatment of Talar Cystic OCD Lesions That Have Failed Microfracture
Day 4: Emerging Techniques
Clinical Sessions:
- Autologous Chondrocyte Implantation: Where are We with Cost and Outcomes?
- Importance of Emerging Techniques
Podcasts:
None
E-Book Chapters:
None
JFAS Articles:
- Treatment of a Focal Articular Cartilage Defect of the Talus with Polymer-Based Autologous Chondrocyte Implantation: A 12-Year Follow-Up Period
- Autologous Chondrocyte Implantation for Talar Osteochondral Lesions: Comparison Between 5-Year Follow-Up Magnetic Resonance Imaging Findings and 7-Year Follow-Up Clinical Results
- Functional Medium-Term Results After Autologous Matrix-Induced Chondrogenesis for Osteochondral Lesions of the Talus: A 5-Year Prospective Cohort Study
- Predictors of Osteochondral Lesions of the Talus in Patients Undergoing Broström-Gould Ankle Ligament Reconstruction
Outside Journal Articles:
- Arthroscopic Autologous Chondrocyte Implantation in the Ankle Joint
- Tissue Bioengineering in the Treatment of Osteochondritis Dissecans of the Talus in Children With Open Physis: Preliminary Results
- Management of Hepple Stage V Osteochondral Lesion of the Talus with a Platelet-Rich Plasma Scaffold