New Perspectives on Ankle Cartilage Pathology and Treatment.

Foot Ankle Clin · Dec 2025 · Review

Jah S, Jhm P, Gmmj K

Amsterdam UMC, Department of Orthopaedic Surgery and Sports Medicine, University of Amsterdam, International Olympic…

Foot & Ankle Sports Medicine

SUMMARY — THE REDUCTIONReviews etiology, diagnosis, and treatment of osteochondral lesions of the talus and tibial plafond: nonoperative care first, then arthroscopic bone marrow stimulation or fixation, with open techniques for larger or secondary lesions.
Abstract, as published

This article describes the etiology, diagnosis and current (arthroscopic) treatment options for osteochondral lesions of the talus (OLT) and tibial plafond (OLTP). OLTs and OLTPs should first be treated nonoperatively. In case of failure, arthroscopic techniques such as bone marrow stimulation or fixation can be performed. For larger, and/or secondary lesions, where arthroscopic techniques are not feasible, open techniques are also available.

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