Fresh Osteochondral Allografting for Osteochondral Defects of the Talus: A Case Review

Surgical treatment of osteochondral defects of the talus encompasses a wide variety of procedures. The results of autologous osteochondral grafting have been successful for large articular cartilage defects of the talus. However, the risk of donor site morbidity from the ipsilateral knee cannot be overlooked. The use of fresh osteochondral allograft for cartilage defects in the talus represents an attractive alternative. We present the technique and early results of replacing large osteochondral lesions of the talus with fresh allograft tissue.