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Osteochondral Lesions of the Talus

Osteochondral lesions of the talus occur in 2%-6% of ankle sprains and may present with concurrent ankle sprains as a result of an inverted ankle. Lesions that are chronic in nature, have failed conservative management, or have displaced fragments or a complete fracture are amenable to surgical intervention. Arthroscopic surgery is the mainstay of evaluation and treatment of osteochondral lesions of the talus. The use of adjunctive biologic treatment has shown great early results as well, and has become increasingly useful to advance healing and return to activity.