Biological reconstruction of large osteochondral lesions of the talar dome with a modified “sandwich” technique—Midterm results

Publication date: Available online 21 September 2016 Source: Foot and Ankle Surgery Author(s): Boguslaw Sadlik, Lukasz Kolodziej, Adrian Blasiak, Mateusz Szymczak, Bartłomiej Warchal Background Surgical treatment for large osteochondral lesions of the talar dome (OLTD) must restore the convexity and curvature of the talus. Here, we present midterm results and describe the modified “sandwich” reconstruction procedure. Bone defects were restored using a biological inlay consists of autologous bone chips that were mixed with bone marrow concentrate and fibrin glue and covered with a xenogeneic collagen membrane infiltrated with bone marrow concentrate and stabilized by fibrin glue.

Publication date: Available online 21 September 2016 Source: Foot and Ankle Surgery Author(s): Boguslaw Sadlik, Lukasz Kolodziej, Adrian Blasiak, Mateusz Szymczak, Bartłomiej Warchal Background Surgical treatment for large osteochondral lesions of the talar dome (OLTD) must restore the convexity and curvature of the talus. Here, we present midterm results and describe the modified “sandwich” reconstruction procedure. Bone defects were restored using a biological inlay consists of autologous bone chips that were mixed with bone marrow concentrate and fibrin glue and covered with a xenogeneic collagen membrane infiltrated with bone marrow concentrate and stabilized by fibrin glue.

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Biological reconstruction of large osteochondral lesions of the talar dome with a modified “sandwich” technique—Midterm results