Autologous osteochondral transplantation for medial talar dome osteochondral lesions

Osteochondral (OCD) lesions to the talar dome are commonly seen. Treatment alternatives for acute and chronic lesions vary depending on the location, size, and stage of the lesion. Operative treatment of chronic injuries has shown to be superior to nonoperative modalities. Arthroscopic debridement and drilling of medial OCD injuries to the talar dome has become a standard treatment. For those lesions not successfully treated in this manner or for those lesions not amenable to this regimen, autologous OCD transplantation has been shown to be an effective treatment modality.We take a brief look at other surgical procedures used in addressing acute lesions and then describe our technique for autologous OCD transplantation from the lateral femoral condyle of the ipsilateral knee to the medial talar dome for symptomatic OCD lesions.