Thanks to all who struggled with us to post during the rebuild of the Myfootshop.com discussion forum called The Foot Talk Forum. We now have an updated version of UBB Threads with new bells and whistles.
So if you’re looking for a discussion board for foot and ankle condition, foot and ankle surgery or just feel like you got the bums rush by your doc, stop by and join our discussion.
Jeff
Jeffrey A. Oster, DPM
Medical Director
Myfootshop.com
I’m never overly optimistic with my patients when we talk about repair of talar dome fractures. Why? I seem to find that repair of talar dome lesions have about a 60% success rate. So I’m not being pessimistic, but rather try to build realistic expectations for patients. Stage 1-2 lesions that are focal do seem to respond to subchondral drilling. In my hands, stages 3-4 never seem to respond to drilling and go on to require revision with grafting.
What’s the best graft? Well, that depends upon who you talk to. An autogenous graft, typically taken from the knee is going to have the best properties to induce bone and cartilage growth, but graft sites are not without complications. I typically use a synthetic graft material to avoid graft site complications.
So how long does it take for a graft (regardless of type) to incorporate into the talar dome? Without sounding evasive, the answer is…it depends. There’s a number of variables that come into play with graft healing. Is the patient healthy? Do they smoke? Do they have co-morbidities like diabetes that would delay healing?
Join us in this discussion on OAT’s procedures and graft healing.
Jeffrey A. Oster, DPM
Medical Director
Myfootshop.com
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