Surgical and exposure approaches in bone grafting for osteochondral lesions of the talus
10.3760/cma.j.cn115530-20250212-00060
- VernacularTitle:距骨骨软骨损伤骨移植手术入路与显露途径的研究进展
- Author:
Yiyuan HUANG
1
;
Canjun ZENG
1
;
Runguang LI
1
Author Information
1. 南方医科大学第三附属医院骨科医学中心足踝外科，广州 510630
- Publication Type:Journal Article
- Keywords:
Talus;
Foot injuries;
Osteotomy;
Transplantation;
Complications
- From:
Chinese Journal of Orthopaedic Trauma
2025;27(7):640-644
- CountryChina
- Language:Chinese
-
Abstract:
Osteochondral lesions of the talus (OLT) refer to the damage involving the articular cartilage and subchondral bone of the talus. For severe cases, debridement combined with bone grafting has shown good clinic outcomes which depend on thorough debridement of the lesion and perpendicular insertion of the graft. Therefore, it is essential for an effective treatment of OLT to select an appropriate surgical approach to achieve precise exposure of the lesion. This article reviews the exposure range, choice of approach, procedural details, and associated complications concerning non-osteotomy exposure approaches, medial malleolar osteotomy approach, lateral malleolar osteotomy approach, and minimally invasive technique approaches related to bone grafting.
