Kinoshita G, Matsumoto M, Maruoka T, et al: Bone and soft tissue tumours of the foot: review of 83 cases. J Orthop Surg (Hong Kong) 10: 173, 2002.
Levy DM, Gross CE, Garras DN: Treatment of unicameral bone cysts of the calcaneus: a systematic review. J Foot Ankle Surg 54: 652, 2015.
Lui TH: Arthroscopic bone grafting of talar bone cyst using posterior ankle arthroscopy. J Foot Ankle Surg 52: 529, 2013.
Dawe EJ, Jukes CP, Gougoulias N, et al: Successful arthroscopic decompression and synthetic grafting of a posterior talar cyst: a case report. Foot Ankle Surg 20: e35, 2014.
El Shazly O, Abou El Soud MM , Nasef Abdelatif NM: Arthroscopic intralesional curettage for large benign talar dome cysts. SICOT J 1: 32, 2015.
Shears E, Dehne K, Murata H, et al: Healing of ungrafted bone defects of the talus after benign tumour removal. Foot Ankle Surg 14: 161, 2008.
Ogut T, Seker A, Ustunkan F: Endoscopic treatment of posteriorly localized talar cysts. Knee Surg Sports Traumatol Arthrosc 19: 1394, 2011.
Reilingh ML, Blankevoort L, van Eekeren IC, et al: Morphological analysis of subchondral talar cysts on microCT. Knee Surg Sports Traumatol Arthrosc 21: 1409, 2013.
Verhagen RA, Maas M, Dijkgraaf MG, et al: Prospective study on diagnostic strategies in osteochondral lesions of the talus: is MRI superior to helical CT? J Bone Joint Surg Br 87: 41, 2005.
Hsu AR, Gross CE, Lee S, et al: Extended indications for foot and ankle arthroscopy. J Am Acad Orthop Surg 22: 10, 2014.
Chen XZ, Chen Y, Liu CG, et al: Arthroscopy-assisted surgery for acute ankle fractures: a systematic review. Arthroscopy 31: 2224, 2015.
Uysal M, Akpinar S, Ozalay M, et al: Arthroscopic debridement and grafting of an intraosseous talar ganglion. Arthroscopy 21: 1269, 2005.
Frey C: Surgical advancements: arthroscopic alternatives to open procedures: great toe, subtalar joint, Haglund's deformity, and tendoscopy. Foot Ankle Clin 14: 313, 2009.
Lui TH: Endoscopic curettage and bone grafting of huge talar bone cyst with preservation of cartilaginous surfaces: surgical planning. Foot Ankle Surg 20: 248, 2014.
Scranton PE Jr, Frey CC, Feder KS: Outcome of osteochondral autograft transplantation for type-V cystic osteochondral lesions of the talus. J Bone Joint Surg Br 88: 614, 2006.
Imhoff AB, Paul J, Ottinger B, et al: Osteochondral transplantation of the talus: long-term clinical and magnetic resonance imaging evaluation. Am J Sports Med 39: 1487, 2011.
Badekas T, Takvorian M, Souras N: Treatment principles for osteochondral lesions in foot and ankle. Int Orthop 37: 1697, 2013.
Matava MJ, Hughes PA: Removal of a retained Herbert-Whipple screw with use of the Osteochondral Autograft Transfer System (OATS) core harvester: a case report. Am J Orthop (Belle Mead NJ) 33: 598, 2004.
Ozer D, Er T, Aycan OE, et al: May bone cement be used to treat benign aggressive bone tumors of the feet with confidence? Foot (Edinb) 24: 1, 2014.
Vaz K, Verma K, Protopsaltis T, et al: Bone grafting options for lumbar spine surgery: a review examining clinical efficacy and complications. SAS J 4: 75, 2010.
Bishay SN: Curettage without bone grafting for a simple bone cyst in the capitate. J Orthop Surg (Hong Kong) 23: 361, 2015.
Rubio ED, Mombru CM: Spontaneous bone healing after cysts enucleation without bone grafting materials: a randomized clinical study. Craniomaxillofac Trauma Reconstr 8: 14, 2015.
Simple bone cysts compose approximately 3% of all primary bone tumors and most commonly occur in the metaphyseal regions of the proximal humerus and femur. The percentage of the talus with suspected bone tumors is reported to be 0.003%. Therefore, talar cysts are rare but sometimes present as aggressive lesions, and they can affect any of the tarsal bones. Recently, an arthroscopic approach to these lesions has been developed that is less invasive than conventional open surgery. In the present case study, we profile a 65-year-old female patient who received arthroscopic debridement of a bone cyst from the medial aspect of the talus with the osteochondral autograft transfer system (OATS). By using the OATS core harvester, we penetrated into the tumor. After the cylindrical bone plug was pulled out, the tumor was removed and artificial bone granules were firmly packed into the cavity with intralesional arthroscopy. Then, the cylindrical bone plug previously harvested by OATS was implanted at the site with careful precision. This intervention resulted in a relative restoration of talar dome anatomy and ultimately restored the patient to activity with minimal discomfort. Therefore, arthroscopic debridement with OATS has the potential to be a useful option in dealing with debilitating osteochondral cystic lesions.