It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....

Foot & Ankle Problems Message Board

have talar OCD and need a second opinion asap

Post New Thread   Closed Thread
LinkBack Thread Tools Search this Thread
Old 04-15-2012, 04:03 AM   #1
Join Date: Apr 2012
Location: nrw,germany
Posts: 1
ffox88 HB User
have talar OCD and need a second opinion asap


I'm a 40 y old male with advanced osteochondrosis dissecans (osteochondral defect) on the anteromedial part of the talus. I'm a Canadian in Germany and will be treated here. I'm scheduled for surgery next week and am having doubts whether the procedure I will receive is the best one for me. With language sometimes a barrier, I am in dire need of a second opinion from other experts.

In short I will get autologous graft of bone tissue from the hip bone to the affected area in my talus. The defect is fairly big... it is about 1/4 of the area of the talar dome, and its depth goes halfway through the bone.

I asked why I was NOT getting mosaicplasty which should regenerate the correct type of cartilage (hyaline) instead the less useful fibrous cartilage which is generated from bone tissue. The answer I got was 1) difficulty of accessing and amount if tissue (cylinders) donor site, 2) possibility of complications at donor site, 3) in their experience this method leads anyway to mostly fibrous cartilage after a few years.
So I was wondering if this the general belief among foot experts out there.

This is really important to me as I am still very active. I could give up going back to my long distance running but I really will hope to be able to go mountain hiking, xc-skiing,etc again for another 40 years.

PLEASE answer soon as I am already signed up for this OP.

best to all


Sponsors Lightbulb
Old 04-15-2012, 12:49 PM   #2
Amethy5t's Avatar
Join Date: Jan 2012
Location: France
Posts: 97
Amethy5t HB UserAmethy5t HB UserAmethy5t HB UserAmethy5t HB User
Re: have talar OCD and need a second opinion asap

I have had drilling for OCD twice, first for a major lesion and more recently for a complete absence of cartilage on top of my talus. I do know that my OS, who is a foot and ankle specialist, doesn't have much faith in transplant surgery compared to microfracture treatment, but that's only one opinion. I agree it is very important to know what is going on. I am English and have lived in Germany and now France, and have been through several surgeries, so I understand how frustrating it is trying to deal with major health issues in a foreign language. Could you ask a German-speaking friend to help you to find a foot and ankle specialist who speaks English? Or ask them what the system is for finding specialists in Germany? If not, usually embassies and consulates for English-speaking countries have lists of English-speaking doctors. They don't mind you phoning - or look online. Putting in the effort to find a second opinion will be worth it! Good luck.

Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Insurance Denial for Talar Allo/autografts for OCD OliviaB Foot & Ankle Problems 3 08-22-2011 03:37 PM
Sub Talar Joint Fusion done--Need Answers Linda1031 Foot & Ankle Problems 50 03-31-2010 11:19 PM
surgicial procedures of the medial talar dome hurt footie Foot & Ankle Problems 1 03-28-2009 11:33 AM
microfracture surgery a little over a week ago joepti Foot & Ankle Problems 5 02-17-2009 01:12 PM
In sprained my foot and ankle back in Aug and still have pain galebear Foot & Ankle Problems 5 04-23-2008 03:13 PM
Osteochondritis in the talor dome pompomchicka21 Foot & Ankle Problems 12 01-23-2007 06:20 PM
fractured heel & sub-talar fusion Prin Foot & Ankle Problems 4 11-15-2006 11:17 PM
Talar Dome Bruise missyou009 Foot & Ankle Problems 54 06-22-2006 05:20 PM
Please help, I am new here & have a bunch of questions (impending ankle surgery) EEK! Mpls21 Foot & Ankle Problems 21 07-06-2004 07:39 PM
When to have second foot bunion surgery susieblueyes Foot & Ankle Problems 13 03-22-2004 07:43 AM

Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off

Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 12:14 PM.

Site owned and operated by HealthBoards.comô
© 1998-2018 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!