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The anterior\u2013posterior or medial\u2013lateral diameter should exceed 10\u202fmm on computed tomography (CT) for primary lesions; for secondary lesions, there are no size limitations.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Contraindications<\/jats:title>\n                <jats:p>Tibiotalar osteoarthritis grade\u00a0III, malignancy, active infectious ankle joint pathology, and hemophilic or other diffuse arthropathy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Surgical technique<\/jats:title>\n                <jats:p>Anterolateral arthrotomy is performed after which the Anterior TaloFibular Ligament (ATFL) is disinserted from the fibula. Additional exposure is achieved by placing a\u00a0Hintermann distractor subluxating the talus ventrally. Thereafter, the osteochondral lesion is excised in toto from the talar dome. The recipient site is micro-drilled in order to disrupt subchondral bone vessels. Thereafter, the autograft is harvested from the ipsilateral iliac crest with an oscillating saw, after which the graft is adjusted to an exactly fitting shape to match the extracted lateral osteochondral defect and the talar morphology as well as curvature. The graft is implanted with a\u00a0press-fit technique after which the ATFL is re-inserted followed by potential augmentation with an InternalBrace\u2122 (Arthrex, Naples, FL, USA).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Postoperative management<\/jats:title>\n                <jats:p>Non-weightbearing cast for 6\u00a0weeks, followed by another 6\u00a0weeks with a\u00a0walking boot. After 12\u00a0weeks, a\u00a0computed tomography (CT) scan is performed to assess consolidation of the inserted autograft. The patient is referred to a\u00a0physiotherapist.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00064-022-00789-0","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T14:04:46Z","timestamp":1673273086000},"page":"82-91","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Talar OsteoPeriostic grafting from the Iliac Crest (TOPIC) for lateral osteochondral lesions of the talus: operative technique","Osteoperiostale Beckenkammtransplantation (TOPIC) bei lateralen Osteochondrall\u00e4sionen des Talus: Operationstechnik"],"prefix":"10.1007","volume":"35","author":[{"given":"Jari","family":"Dahmen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quinten G. H.","family":"Rikken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gino M. M. 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