A symptomatic osteochondral lesion (OCL) greater than 8-10 mm. Authors vary on which size need to be treated with an ostechondral graft. With a smaller OCL, debridement is best.  

Preoperative Planning

X-rays and an MRI should be taken.


Detailed below.  


Detailed below. 


Step by step description to illustrate surgical technique

Mon May 20 13:43:46 PDT 2024

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Pearls and Pitfalls

Obtaining proper alignment of graft so excellent congruency is achieved is of the utmost importance. 

Postoperative Care

Include immediate postoperative care and rehabilitation


Include functional and prosthetic survivorship data as applicable


A possible complication is adjacent cyst formation in the talus probably due to inadaquate cartilage growth. Results can possibly be mitigated by obtaining best fit and through the use of PRP or BMAC. Fixation of the medial malleolar osteotomy to achieve anatomic reduction and avoid proximal migration is very important.


Include limited reference list