This book addresses hot topics relating to talar osteochondritis dissecans: improvements in the accuracy of diagnosis, sound preoperative planning, optimal treatment and procedure-specific rehabilitation protocols. The technical difficulties in each of these areas are identified and evidence-based guidelines are presented. With regard to diagnosis, several chapters discuss the roles of arthroscopy, standard radiography, computed tomography, magnetic resonance imaging and combined imaging modalities (PET/CT and SPECT/CT). The chapters on treatment cover various surgical options and provide an overview of the direct postoperative treatment; in addition, rehabilitation protocols are described for all the treatment procedures. The authors are leading experts in the field of foot and ankle surgery who have aimed to provide the reader with an up-to-date handbook ideal for use in clinical practice. Their reviews and opinions are based firmly on the best currently available evidence.

Introduction

Diagnosis of Chondral Injury after Supination Trauma
Arthroscopy after Ankle Fracture
Diagnosis of Osteochondral Lesions by MRI
Diagnosis of osteochondral defects of the talus by Computerized Tomography (CT) and Single - Photon Emission Computed Tomography (SPECT-CT)
Diagnosis of Osteochondral Defects by Arthroscopy
Preoperative planning for Osteochondral Defects
Surgical Approach to Lateral OLT
Approach to Osteochondral Lesions of the Medial Talus
Approach to Osteochondral Lesions of the Tibial Plafond
Meta-analysis on therapy
Outcome scores
Follow-up Imaging for Osteochondral Lesions of the Ankle
Return to sports
Rehabilitation after Bone Marrow Stimulation
Rehabilitation After Replacement Procedures (i.e. OATS, allograft)
Rehabilitation After Cartilage Reconstruction
Talar dome resurfacing with the HemiCap prosthesis.