Galla M, et al. - Authors assessed the complication rates and postoperative outcomes in patients with osteochondral lesions of the talus who underwent an autologous matrix-induced chondrogenesis (AMIC) procedure with autologous spongiosa grafting without malleolar osteotomy. Findings suggested that through the anterolateral and anteromedial arthrotomy without malleolar osteotomy, AMIC procedure can be performed. Therefore, it was possible to avoid the probable complications associated with malleolar osteotomy. In patients with osteochondral lesions localized anterior to the midline in the sagittal plane, a safe and reliable procedure could be the AMIC procedure without a malleolar osteotomy.