Osteochondrose des Talus: Wann ist sie behandlungsbedürftig?

Background: Osteochondral lesion (OCL) is a common lesion that influences the quality of life of patients. In addition due to incongruence of the joint surface in advanced stages as well as the lack of regenerative capacity of hyaline cartilage, osteochondral lesions can lead to an early onset of osteoarthritis; therefore, surgical treatment is often necessary and conservative treatment options are only promising in the early stages of OCL.

Therapy: Autologous osteochondral transplantation is the only technique that resurfaces defects with viable hyaline vital cartilage. Other operative techniques, such as bone marrow stimulating techniques or autologous chondrocyte transplantation generate fibrocartilage with less biomechanical properties when compared to hyaline cartilage. Transplant morbidity and the body mass index of the patient are important factors which must also be taken into consideration.