BACKGROUND: With @entity75 of the talar shoulder, their size, the articular cartilage geometry, and the loss of the medial or lateral articular buttress often preclude treatment with traditional osteochondral autograft techniques. We hypothesized that fresh, large osteochondral allograft transplantation is a viable treatment option for @entity1 with such lesions. METHODS: A retrospective review was conducted of @entity1 who underwent fresh talar shoulder allograft transplantation between 2000 and 2007. All @entity1 failed initial conservative management. Preoperatively, a visual analog @entity158 scale of 0 to 10 (with 0 denoting no @entity158 and 10 denoting the @entity158 imaginable) and the Lower Extremity Functional Scale were administered. At the time of most recent follow-up, the visual analog @entity158 scale, the Lower Extremity Functional Scale, the American Orthopaedic Foot _ Ankle Society ankle-hindfoot scale, and the Short Musculoskeletal Function Assessment questionnaire were administered. Radiographs were assessed for allograft incorporation and joint deterioration. RESULTS: Eight @entity1 with a mean age of thirty-one years and a mean follow-up of forty-eight months were included. There was a significant decrease (p < 0.05) in @entity158 , from a mean of 6 points (range, 5 to 8 points) preoperatively to a mean of 1 point (range, 0 to 2 points) postoperatively. The mean Lower Extremity Functional Scale score improved from 37 points initially (range, 24 to 52 points) to 65 points (range, 31 to 75 points; p < 0.05) at the time of final follow-up. The mean postoperative American Orthopaedic Foot _ Ankle Society ankle-hindfoot score was 84 points. The mean Short Musculoskeletal Function Assessment dysfunction index score was 13.3 points and the mean bother index score was 14.3 points. Radiographic lucencies at the graft-host interface were seen in five @entity1 . Four @entity1 required an additional surgical procedure. No @entity1 needed to undergo subsequent arthrodesis or arthroplasty. CONCLUSIONS: These midterm results in a small group of @entity1 indicate that structural fresh allograft transplantation can be a successful surgical option in the treatment of large @entity4713 of the talar shoulder [corrected].

Midterm results of XXXX of the talar shoulder treated with fresh osteochondral allograft transplantation.

@entity75 :: ('MESH:D001927', 'Disease') :: ['osteochondral lesions'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity4713 :: ('MESH:D010007', 'Disease') :: ['osteochondral defects'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'worst pain']
@entity75 :: (MESH:D001927,Disease) :: ['osteochondral lesions']
