Editorial Commentary: Bulk Osteochondral Talar Grafts Compromise Future Arthrodesis or Prosthesis.

In general, osteochondral allograft should include minimal "osteo" or bone. In cases that require a bulk allograft, even after creeping substitution and healing, most of the graft remains dead bone. Bulk dead bone is a particular problem in the talus, should a patient need revision to a prosthesis or arthrodesis. As an alternative, drilling, bone grafting, and fixation of existing cartilage, when possible, is preferred.