Ankle Conditions: Talar Dome Cartilage Damage (Osteochrondral Lesion)

Updated 8/21/2018
Talar Dome Cartilage Damage

The talus bone of the ankle is commonly known as the ankle bone. It transfers weight-bearing from the shin to the foot and has the highest percentage of surface area covered by cartilage in the human body.  Unlike most bones, no muscles attach to the talus and its position depends on that of the neighboring bones.

 

Osteochondral lesion of the talus, (cartilage damage of the ankle) can occur from a traumatic fracture or ankle sprain, when the bones in the ankle joint hit each other damaging the cartilage surface. The initial pain may resolve, but the pain often comes back during exercise, with possible locking of the joint.

 

The University Foot and Ankle Institute is one of the top foot and ankle centers in the world. Our doctors and surgeons are recognized for providing treatment of large osteochondral lesions of the talus with removal or fresh transplant.

Diagnosing Osteochondral Lesion of the Talus

The diagnosis of cartilage damage (osteochondral lesion, also known as talar dome) is often done with x-rays and/or an MRI. Initial x-rays are taken to check the alignment of the foot and ankle, as well as look for any bone damage. With an MRI, the ligament structures, tendons and cartilage of the ankle can be examined and analyzed.

 

Talar Dome - University Foot and Ankle Institute, podiatry today
UFAI's Dr. Ryan Carter discusses osteochondral lesions in Podiatry Today, 

Surgical Osteochondral Lesion Treatment Options

Depending on the extent of the cartilage damage, treatment options may include arthroscopic removal of the damaged cartilage and drilling of the damaged region prompting the growth of new cartilage called fibrocartilage. If the lesion is large or involves the deep bone below the cartilage-damaged area, a transplant of fresh bone and cartilage, either from the patient’s knee or from a lab, is placed as a plug into the injured region.

 

BioCartilage Transplant for Osteochondral Lesion Treatment

BioCartilage is a revolutionary product that results in a stronger ankle joint, faster recovery and reduced chance of re-injury than with traditional methods. Read more about BioCartilage here.

 

What to Expect After Talar Dome Surgery

Because the talus bone lacks a strong blood supply, healing a broken talus can take longer than most bones. Patients recovering from a broken talus may not be able to walk for several months without crutches, after which they will likely wear a walking cast or boot for a length of time.

 

Why Choose UFAI Physicians for Talar Dome Treatment

The University Foot and Ankle Institute is one of the top foot and ankle centers in the world. Our doctors and surgeons are recognized for providing treatment of large Osteochondral lesions of the talus with removal or fresh transplant.

 

Each surgery option can be performed at one of our nine Southern California locations, where every patient is treated for their specific situation.

Over 200,000 happy UFAI patients and growing
  • Yelp
    Was lucky to be referred to Dr. Babak Baravarian in Oct.2010 by my " Podiatrician " cousin. She told me good things about him and his experience in foot and ankle surgeries although she is a podiatrist herself. I re...
    Mahkameh S.
  • Yelp
    I found Dr. Bob  in 2004 when my bunions were bothering me.  I had been diagnosed with knee problems 3 years earlier, but did not know the problems were related.  My knee doctor told me to come back for a knee replace...
    Janet P.
  • ZocDoc
    Dr. B gave me excellent advisement regarding several bruised toe nails on my right foot. His assistant Alex trimmed my toe nails. I was a little scared at first, but he had very good technique and it didn't hurt at all.
    Sarah A.
  • Yelp
    Dr. Baravarian took care of my very painful hung nail last year and I have had no problems since then. I since recommended 3 friends to him for different problems/surgeries and they are all so thankful and happy with ...
    Haleh S.
  • Yelp
    Excellent thorough care. Absolutely tops in getting me in after 30 days of negligent care from another podiatrist.  Dr Campbell whom I saw here in Santa Barbara CA  was able to see me within 48 hours of my desperate c...
    Sharon D.
  • CustomerSure
    Everyone is amazing.
    Susan H.
  • CustomerSure
    The therapists are very knowledgeable. It was nice to see how they all helped out where needed. If someone started something, but was busy when a treatment ended, then someone else would finish up. A nice team effort.
    Hunter M.
  • Google+
    I had been dealing with heel pain for far too long and went to seek treatment from University Foot and Ankle (in Manhattan Beach and Santa Monica). Within three weeks my pain had decreased for the first time in four y...
    Greg A.
  • Yelp
    Hi again and I just wanted to thank the Doctors at the University Foot and Ankle Institute. I suffered a very severe tear of my ankle around 8 months ago whilst playing with my kids and was getting frustrated with the...
    Russell W.
  • Yelp
    I have been suffering for a long time with pain in my toes. Thought it was just something I would have to deal with, my mom cannot even walk anymore due to her arthritis- I cried with relief to find out that Dr. Barav...
    Amanda W.
Same Day Appointments
Now Available!

Or call 877-989-9110

24 hours a day, 7 days a week