AOSSM 2023 Annual Meeting Recordings no CME-Do Patients Participate in Sports or Recreational Activity After Osteochondral Allograft Transplantation of the Talus?

Do Patients Participate in Sports or Recreational Activity After Osteochondral Allograft Transplantation of the Talus?

Video Transcription

Video Summary

In this video, the speaker discusses the use of osteochondral allografting for osteochondral lesions of the talus (OLTs). OLTs are a source of ankle morbidity and affect a young, healthy, active population. Osteochondral allografting has advantages such as restoring mature highland cartilage, no tissue differentiation requirement, no second surgery, and the ability to replace abnormal subchondral bone and cartilage. The surgical technique involves using a direct anterior approach or a medial malleolar osteotomy depending on the lesion location. A study on 36 ankles and 34 patients found that 66% of patients returned to sports or recreational activity after the surgery, with higher rates for highly trained athletes. Patient-reported outcomes showed improvements in pain, function, and satisfaction. The graft survival rate at 5 years was 94%, and at 10 years was 85%. In conclusion, fresh OCA transplantation is a viable option for active patients who have failed non-operative treatment. The more highly trained or competitive the patient, the better their chances of returning to sport.

Asset Caption

Ali Dalal, MD

Keywords

osteochondral allografting

osteochondral lesions of the talus

ankle morbidity

surgical technique

patient-reported outcomes