Outcome after mosaicplasty for osteochondral lesion of the talus: 19-patients, over 10-year follow-up

Abstract

Background To investigate autologous cartilage–bone graft survivorship and outcomes among young patients with symptomatic osteochondritis dissecans lesion of the talus a long-term follow-up study is warranted. Methods Nineteen patients who underwent a mosaicplasty operation of the talus were included. Follow-up assessment included a clinical follow-up visit with patient outcomes, and radiograph and magnetic resonance imaging evaluations. Results All mosaicplasty transfers were incorporated, 89 % of patients felt satisfied or neutral about the surgery, 53 % of patients retained the same osteoarthritis grade, and range of movement in the ankles was nearly the same. Patients were well-off in terms of pain and activities in daily living. Conclusions Mosaicplasty reconstruction seems to result in pain relief and improved subjective satisfaction and function. The results support the use of this treatment for symptomatic patients with large osteochondral defects of the talus after failed nonoperative management or other operative treatment.