%0 Case Reports
%T Costal cartilage grafting in the treatment of concurrent osteochondral lesion of the talus in a trimalleolar fracture.
%A Leung M
%A Huang YG
%A Zhang C
%J Trauma Case Rep
%V 46
%N 0
%D 2023 Aug
%M 37304216
暂无%R 10.1016/j.tcr.2023.100853
%X A 49-year-old female sustained a trimalleolar fracture concurrent with 10 years history of symptomatic osteochondral lesions of the talus. We performed a costal cartilage grafting for osteochondral lesions of the talus through the inherent medial malleolar fracture gap, followed by internal fixation of the fracture. During the follow-up, the fracture healed within the expected time, accompanied by favorable functional outcomes and pre-injury pain relief. At 3 years postoperatively, the graft merged with the bone bed of the talus, and progressive endochondral ossification was observed at the graft-bone interface. The case provides us a chance to verify whether the costal cartilage grafting is reliable for the treatment of osteochondral lesions of the talus.