Current management of talar osteochondral lesions

Figure 1 Arthroscopic images of osteochondral lesions of the talus. A: Osteochondral lesion of the talus identified arthroscopically; B: Frayed or fibrillated cartilage is curretted out; C: Subchondral plate is violated with microfracture pick; D: After the subchondral bone plate is violated, bleeding occurs beginning the healing response.

Figure 2 Autologous osteochondral transplantation procedure. A: Medial exposure of the talus; B: Preparation of the defect site; C: Insertion of cylindrical osteochondral plug into the prepared osteochondral lesions of the talus defect site; D: Exposure of the medial talus via the chevron-type medial malleolar osteotomy.