Microfracture Treatment of Osteochondral Lesions of the Talus

Microfracture is in widespread clinical use as an intervention for symptomatic cartilage defects. Although effective when used with strict indications for treating smaller talar dome defects, the resultant fibrocartilagenous repair tissue shows degradation over time when this approach is used in larger or uncontained defects. This article reviews the indications, techniques, and results of microfracture in treating osteochondral lesion of the talus.