Treatment of Osteochondral Lesions of the Talus With Marrow Stimulation and Micronized Allograft Cartilage Matrix: An All-Arthroscopic Technique

Osteochondral lesions of the talus are a common cause of ankle pain. The optimum treatment for these injuries continues to evolve. The article describes an all-arthroscopic technique, which includes debridement, marrow stimulation, and application of a micronized allograft cartilage matrix with fibrin sealant. The procedure avoids potential disadvantages associated with other commonly performed procedures including necessity of arthrotomy or osteotomy, donor-site morbidity, increased cost, and need for multiple procedures. The technique is presented along with promising early clinical results. Level of Evidence: Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence.