Osteochondral lesion of the central talar dome: A case report

A 33-year-old male patient with an osteochondral lesion of the central talar dome is reported. Operative treatment with perpendicular access to this area was impossible without an osteotomy of the tibial plafond. Pie-wedge osteotomy of the tibial plafond with on pedicle capsule-periosteal flap enabled us to treat the lesion by mosaicplasty.