Why Choose UFAI Physicians for Talar Dome Treatment 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. Read more about BioCartilage here.īecause the talus bone lacks a strong blood supply, healing a broken talus can take longer than most bones. 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.īioCartilage Transplant for Osteochondral Lesion TreatmentīioCartilage is a revolutionary product that results in a stronger ankle joint, faster recovery, and reduced chance of re-injury than with traditional methods. Ryan Carter discusses osteochondral lesions in Podiatry Today, Surgical Osteochondral Lesion Treatment Optionsĭepending 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. Complications of Talar Dome Lesionsĭepending on the amount of damage to the cartilage in the ankle joint, arthritis may develop in the joint, resulting in chronic pain, swelling and limited joint motion.UFAI's Dr. The surgeon will select the best procedure based on the specific case. A variety of surgical techniques is available to accomplish this. Surgery may involve removal of the loose bone and cartilage fragments within the joint and establishing an environment for healing. If nonsurgical treatment fails to relieve the symptoms of talar dome lesions, surgery may be necessary. Ankle brace. Wearing an ankle brace may help protect the patient from reinjury if the ankle is unstable.Physical therapy may also include techniques to reduce pain and swelling. Physical therapy. Range-of-motion and strengthening exercises are beneficial once the lesion is adequately healed.Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be helpful in reducing the pain and inflammation.During this period of immobilization, nonweightbearing range-of-motion exercises may be recommended. Immobilization. Depending on the type of injury, the leg may be placed in a cast or cast boot to protect the talus.If the lesion is stable (without loose pieces of cartilage or bone), one or more of the following nonsurgical treatment options may be considered: Treatment depends on the severity of the talar dome lesion. X-rays are taken, and often an MRI or other advanced imaging tests are ordered to further evaluate the lesion and extent of the injury. Sometimes the surgeon will inject the joint with an anesthetic (pain-relieving medication) to see if the pain goes away for a while, indicating that the pain is coming from inside the joint. To diagnose this injury, the foot and ankle surgeon will question the patient about recent or previous injury and will examine the foot and ankle, moving the ankle joint to help determine if there is pain, clicking or limited motion within that joint.
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