Ankle Conditions: Talar Dome Cartilage Damage (Osteochrondral Lesion)

Updated 3/17/2021
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 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.

Osteochondral Lesion Symptoms

  • The initial pain may resolve following an ankle sprain or fracture but then returns
  • Pain is usually worsened by activity
  • Swelling, instability, and locking of the ankle joint
  • Osteochondral lesions happen more frequently in the younger athletic population

 

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.

  • Foot and Ankle Surgeon and Director of University Foot and Ankle Institute
    Dr Bob Baravarian, University Foot and Ankle Institute

    Dr. Bob Baravaria DPM, FACFAS is a Board-Certified Podiatric Foot and Ankle Specialist. He is currently a member of UCLA Medical Group, Chief of Podiatric Surgery at Santa Monica/UCLA medical center and Orthopedic Hospital, and an assistant clinical professor at the UCLA School of Medicine. He also serves as Director of University Foot and Ankle Institute.

     

    Dr. Baravarian has been involved in athletics his entire life and played competitive tennis in high school and college. He has an interest in sports medicine, arthritis therapy, and trauma/reconstructive surgery of the foot and ankle. He is also fluent in five languages (English, French, Spanish, Farsi, and Hebrew),

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