Editorial Commentary: Bulk Osteochondral Talar Grafts Compromise Future Arthrodesis or Prosthesis

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• 作者：C. Niek van Dijk ; M.D. ; Ph.D.
• 刊名：Arthroscopy: The Journal of Arthroscopic & Related Surgery
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：33
• 期：1
• 页码：223-224
• 全文大小：99 K
• 卷排序：33

文摘

In general, osteochondral allograft should include minimal “osteo” or bone. In cases that require a bulk allograft, even after creeping substitution and healing, most of the graft remains dead bone. Bulk dead bone is a particular problem in the talus, should a patient need revision to a prosthesis or arthrodesis. As an alternative, drilling, bone grafting, and fixation of existing cartilage, when possible, is preferred.