Editorial Commentary: Osteochondral Lesions of the Talus: All, Nothing, or Something in Between

Osteochondral lesions of the talus occur with relatively frequency, often as sequelae benign ankle sprains, and are only surpassed by knee elbow more common locations. While microfracture is most first-line surgical treatment performed at time arthroscopy, marrow stimulation alone results in fibrocartilaginous repair tissue rather than true hyaline-like articular cartilage. In addition, benefits bone for large (>150 mm2), deep (>7 mm), or cystic limited. Autologous osteochondral transplant has emerged one such option that may address underlying loss reconstitute The utility autologous also must be interpreted an understanding potential complications, including donor-site morbidity. it important to decompress, curettage, back fill associated cysts graft. When not treated aggressively, patients have ongoing edema pain.