Summary: Osteochondral lesions of the talus are a challenging entity despite the advancements that have been made to treat focal deficits of articular cartilage. For defects with a large diameter, large cystic component, or heavily involving the shoulder of the talus, an allograft provides an excellent option.
Overview: This article focuses on the efficacy and determination of the most appropriate graft reconstruction: allograft reconstruction or OATS.
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Anish R Kadakia, Norman Espinosa. "Why Allograft Reconstruction For Osteochondral Lesion Of Talus? The Osteochondral Autograft Transfer System Works For defects and allografts provide an excellent option..Foot Ankle Clin. 2013 Mar;18(1):89-112. doi: 10.1016/j.fcl.2012.12.006.