The MRI of the medial talar dome lesion prior to her first surgery in 2008 is shown in Figures 1 A and B below. This early motion helps to prevent return of the adhesions and promote faster recovery. 5. There was a problem adding your email I did manage to get around using a knee scooter (Roll A Bout) and found out they manufacture them right near my town..was very reasonable to rent...and much better than crutches. Follow-up X-rays, about 4 to 6 weeks after injury, should be taken to rule out any fractures of the talar dome. Usually the top or dome is affected and thus we end up with a fracture of the dome. The talar dome is a trapezoid-shaped protuberance of the talus, 2.5mm wider at the front than the back, which is 60% covered with articular cartilage(2). OLTs can be an incidental finding on an MRI ordered to assess another problem. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). If the lesion is on the dome, it is drilled straight down from the top. The top of the talus is dome-shaped and is completely covered with cartilage—a tough, rubbery tissue that enables the ankle to move smoothly.A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. The talar dome has no direct muscle attachments(2); during norm… Surgical procedures, such as grafting, might require a longer period of recovery. 4. Initial x-rays are taken to check the alignment of the foot and ankle, as well as look for any bone damage. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. My most recent MRI indicated the lesion is now 8x8mm. Recovery after OLT treatment varies depending upon the nature of the lesion and the treatment. When the fragment is removed, a defect shaped like a small crater is left in the talar dome. Do not copy or redistribute in any form! In either case, the Drill Tip Guide Pin is advanced to a depth of 15 – 20 mm. Join the conversation! All rights reserved. At that point I didn't know there was an injury - just thought my body was a bit odd! Stay healthy through tips curated by our health experts. There was a problem adding your email Recovery timeline You could be a cast for eight weeks after surgery. My dr. will only do OATS if the lesion grows to 1cm. Crutches are usually prescribed for about six weeks, and you should rest as much as possible with your ankle elevated above your heart level. Well, I certainly didn't want to go through an ankle replacement so I agreed on the Debridement/drilling of the talar dome surgery. This time I'm going to try and take things slower. recommended fixation of the lesion larger than 7.5 mm . If you have had an osteochondral lesion to the talar dome and following any appropriate rehabilitation you are still experiencing issues with either, pain, stiffness and/or walking then visit Chiropody.co.uk. If it is on the shoulder of the talus, it is drilled at a 45° angle. Surgery usually involves removing the loose fragment of cartilage and bone from the ankle joint and drilling small holes in the injured bone. Incision and talar articular surface visualized and lesion sized with 6, 8, or 10 mm sizer to determine 2. Mine is on the inside, and I was told its easier to get to the outside for repair. 3. I don't think it ever went away. Lateral ankle ligament reconstruction is a surgery to tighten and firm up one or more ankle ligaments on the outside of your ankle. Then I went to a walker when I jointed PT and after about a week or so with it I got a cane and now, after all of that I am finally able to get around with just taking the cane as a security thing... My toes still swell if I am up too long on the ankle but the surgeon said (Dec. 2nd) that it was not unusual after 2 months post surgery to have the foot swell a bit. Hi , I also have an osteochondral lesion with cystic change. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. Talar dome lesions are usually caused by … Foot Ankle Clinics 8(2): 259-273, 2003. Patients with this condition usually make a full recovery with appropriate management (whether surgical or conservative). The outside and top part of the lower bone of the ankle (the antero-lateral talar dome) Clinical Presentation. I really appreciate the replies to this post. Talar Osteolytic Lesion as the Initial Presentation of Terminal Primary Metastatic Adenocarcinoma: A Case Report November 2020 The Journal of Foot and Ankle Surgery JBJS 62(1): 97-102, 1980. a competitive runner, so this whole thing is a huge bummer. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. The results of non-surgical treatment of OLTs have been disappointing. When the cartilage is damaged, or when a fracture to the talar dome occurs this is called an osteochondral lesion of the talar dome. Recovery. • A direct injury to the ankle (such as an object hitting where the talus joins the leg bones) Postoperative treatment involves non-weightbearing for four to six weeks following surgical intervention. Either way it's at least six weeks non weight bearing and a lengthy recovery. Talar dome lesions are usually caused by … It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). The surgeon agreed that it was time to do the surgery and that if I didn't have it done, even with the 60-70% success rate of the surgery, I could be a candidate for ankle replacement in the future. Try again. Disclaimer Do not copy or redistribute in any form! Let me know what other things I can do. Recovery from osteochondral lesion repair with BioCartilage After an Osteochondral Lesion repair, patients can expect to spend about 2-4 weeks in a cast. Patients can have three different kinds of complaints, whether or not in combination: 1. Hangody L: The mosaicplasty technique for osteochondral lesions of the talus. [QUOTE=PatriciaBeet;3776287]Hi Everyone... Stay healthy through tips curated by our health experts. Most treatments require a period of immobilization and restricted weightbearingthat can range from several weeks to several months. suggested internal fixation of the lesion if it is larger than one third of the size of talar dome while Stone et al. © 2020 MH Sub I, LLC dba Internet Brands. Ask our community of thousands of members your health questions, and learn from others experiences. I'm 35.5 years old now. Hi...well I'm in about my 7th week of PT and so far everything is going well. Intra Articular Calcaneal Fracture (Heel Bone Fracture). So, I'm in a wait and see mode. All patients with an osteochondral lesion of the talar dome may have an increased likelihoo… If the ankle arthroscopy fails to relieve pain or the talar dome lesion is very large, a type of Cartilage Resurfacing Surgery may be recommended. I was able to manage it conservatively by orthotics, not running, etc but have had ongoing problems since I … © 2020 MH Sub I, LLC dba Internet Brands. In patients with severe injuries involving damage to other bones, soft tissue, nerves or blood vessels, recovery time may be significantly prolonged. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). It appears you have not yet Signed Up with our community. mechanism of injury that causes talar dome fractures. “Osteo” means bone and “chondral” refers to cartilage. This dome is coated with a layer of strong cartilage to facilitate effective ankle movement. Stage 3 • Nondisplaced lesion with lucency: Stage 4 • Displaced fragment I'm 35.5 years old now. I appreciate your input and I definitely will let my dr. know if I start feeling any kind of pain in the ankle or start hearing that "clicking" again when flexing the foot. Ask our community of thousands of members your health questions, and learn from others experiences. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. The largest series has been reported by Kumai et al. I had ligament issues and tendon issues to go along with my mess. I was good for maybe a year and then it went downhill fast. This condition is also known as either osteochondritis dissecans (OCD) of the talus or as a talar osteochondral lesion (OCL). Little to no weight should be placed on the ankle during that time, but this will be a … I also have a lesion on the medial side of my talus. It’s also known as the Brostrom procedure. Joint is still somewhat stiff in the a.m. but at least I'm walking which, after the non-weight bearing 6 wks., I was seriously doubtful that I would walk again. I did push my recovery way to much last time around. The ankle bone is called the talus, which is topped by the talar dome linking to the tibia (shin bone). Recovery time after an osteochondral lesion depends on the nature of the lesion and the treatment approach. Hi I have a large shallow Grade III Osteochondral Lesion of the Talar Dome. More involved procedures that include bone grafting or cartilage transfer may require a longer period of recovery. Recovery: Average recovery time after undergoing surgery to repair an osteochondral lesion of the talus ranges from four to six weeks. Your ankle is a hinge joint that allows motion up and down, and from side to side. “Osteo” means bone and “chondral” refers to cartilage. I never felt this kind of pain before. Talar dome lesions are usually caused by … In June 2007 I underwent debridement and microfracture surgery, with an 85% chance of success. In the majority of cases there is a severe inversion sprain along with a resulting dorsiflexion of the foot (the ankle turns inward and at the same time the foot is jerked upwards). I am starting to "write my abc's" in the air with my left foot (toes) and I am using an elastic bandage to use as a way in which to do those "towel" exercises where you put the towel or elastic banage under the ball of your foot and hold in both hands the ends of the towel or bandage and then dorsi flex and plantar flex the foot... so I hope that I am not doing anything wrong. Many patients with talar OLTs are asymptomatic (no pain or swelling). Is the surgery you are considering microfracture , where they go in thru tiny incisions and drill around the lesion? I've had it for around 20 years but only just diagnosed. It is recommended that you avoid bearing weight until your ankle has healed. I'm 5 weeks out from OATS. Moreover, in the case of fracture of the outer side of the talar dome there is tenderness in front of the outer bump of the ankle with the foot bent downwards. DeLee et al. I am (was?!) I have no more electric shock feelings when I stand and I think the ankle is better. An osteochondral lesion of the talus (OLT) is an area of abnormal, damaged cartilage and bone on the top of the talus bone (the lower bone of the ankle joint). One or more ankle ligaments on the medial facets of the talar talar dome lesion surgery recovery time my most MRI... The surgery you are considering microfracture, where they take cartilage frkm knee! Antero-Lateral talar dome lesion is an injury to the cartilage and underlying bone of the talar dome ) Presentation. Same day bearing for weeks or in some cases, months an osteochondral defect ( ). 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