Symptomatic osteochondral lesions of the talus are a common cause of ankle pain and frequently occur among recreational and professional athletes. These lesions are being increasingly diagnosed and a great variety of treatment approaches exist. Since the talar cartilage has poor repair capacity, the aim of treatment paradigms is to restore the joint surface with a repair tissue as similar as possible to the original cartilage to provide good long-term results. Multiple surgical approaches have been described over the past years in order to identify the ideal treatment option. Arthroscopic debridement and bone marrow stimulation techniques have increasingly gained consensus. We aimed to review the available evidence on these arthroscopic minimally invasive approaches for osteochondral talar lesions.
Competing interests None declared.
Provenance and peer review Commissioned; externally peer reviewed.