Editorial Commentary: Osteochondral Lesions of the Talus-Are We Going the Wrong Way?

Recalcitrant osteochondral lesions of the talus present a difficult problem to the treating surgeon. Anterior and posterior approaches have been studied to facilitate treatment access. Current research highlights the accessibility of an osteochondral lesion to treatment from an anterior or posterior approach and shows the importance of foot position and noninvasive distraction to facilitate treatment. Moreover, it is important to consider that using both anterior and posterior portals, most osteochondral lesions can be well treated with a patient in the supine position. Most of all, ankle arthroscopy surgeons must be sure to visualize the central and posterior ankle so as not to miss essential pathology.