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  • Title: Osteochondritis dissecans of the talus treated with the mosaicplasty technique: a case report.
    Author: Kodama N, Honjo M, Maki J, Hukuda S.
    Journal: J Foot Ankle Surg; 2004; 43(3):195-8. PubMed ID: 15181438.
    Abstract:
    The authors present the use of osteochondral autografting with mosaicplasty technique performed on a 20-year-old man for a large osteochondral talar dome lesion. The patient had sustained a right ankle sprain many times while playing rugby football. The lesion measured 15 mm in diameter and encompassed more than one-third of the articular surface. After exposing the talus to a medial malleolar osteotomy, 3 osteochondral grafts taken from the medial femoral condyle of the ipsilateral knee were press-fit into the lesion. One year postoperatively, the patient has returned to playing rugby football. Radiographically, there was incorporation of the grafts. The authors believe that the mosaicplasty technique presents a promising new option in the treatment of osteochondritis dissecans of the talus.
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