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In the case of large lesions with substantial chondral or subchondral involvement, such as Hepple type V cystic lesions, cartilage\u2010replacing procedures have provided favorable outcomes at the expense of necessitating open arthrotomy and malleolar osteotomy, which can be debilitating to patients. Several recent reports with lower level of evidence have described favorable outcomes for even severe large cystic osteochondral lesions of the talus when treated with all\u2010arthroscopic autologous cancellous bone transplantation. Given the benefits associated with arthroscopic treatment, further investigation to determine the type of osteochondral lesions of the talus that can be optimally treated with this surgical modality, rather than an open procedure, is warranted.<\/jats:p>","DOI":"10.1002\/arj.70112","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T08:44:53Z","timestamp":1776069893000},"page":"657-659","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : All\u2010Arthroscopic Autologous Cancellous Bone Transplantation for Hepple V Cystic Osteochondral Lesions of the Talus\u2014High Impact With Lower Level Evidence"],"prefix":"10.1002","volume":"42","author":[{"given":"Fernando A.","family":"Huyke\u2010Hern\u00e1ndez","sequence":"first","affiliation":[{"name":"Northwell Health, Huntington Hospital  Huntington New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam D.","family":"Bitterman","sequence":"additional","affiliation":[{"name":"Northwell Health, Huntington Hospital  Huntington New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/arj.70085"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516668292"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119879127"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06630-8"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.11.038"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-025-06232-x"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211068529"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2015.02.010"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm-21-2006"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-20-00636"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221145733"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-025-05468-x"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5063-7"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70112","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70112","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70112","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:51:15Z","timestamp":1777423875000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70112"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/arj.70112"],"URL":"https:\/\/doi.org\/10.1002\/arj.70112","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2026-04-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}