Treatment of Talar Osteochondral Lesions in Athletes: Approaches for Treatment

Portal sites are outlined with the medial portal medial to the anterior tibials and the lateral portal lateral to the peroneus tertius.

Drill guide placed arthroscopically from the posterior talus for drilling of a cystic defect.

(A) Sagittal view of ankle CT scan showing an anterolateral osteochondral defect with a flipped fragment. (B) Coronal view of the same patient.

Osteochondral lesion of the talus was found to be unstable upon probing and was excised.

Loose osteochondral fragment is identified in a region requiring an osteotomy for placement of an osteochondral graft.