2021 Annual Meeting Foot & Ankle Access Pass-State of the Art OLT

Video Transcription

Video Summary

The talk reviews treatment strategies for osteochondral lesions of the talus (OLT), emphasizing that current literature quality is poor, with most studies being low-level evidence. Lesion size (<10-15mm) and location (medial vs lateral) significantly influence success; smaller lesions respond well to bone marrow stimulation (BMS) like microfracture. Larger or complex lesions may require advanced techniques such as osteochondral autografts (OATS), autologous chondrocyte implantation (ACI), or newer biologics. While BMS shows good mid-term outcomes, fibrocartilage durability is uncertain long-term. Emerging treatments like juvenile cartilage and micronized articular cartilage need robust trials. Treatment should be individualized based on lesion characteristics and evidence.

Asset Caption

Dr. James Stone

Keywords

osteochondral lesions of the talus

bone marrow stimulation

osteochondral autografts

autologous chondrocyte implantation

juvenile cartilage treatments