دورية أكاديمية
Return to Sports Activity After Microfracture for Osteochondral Lesion of the Talus in Skeletally Immature Children.
| العنوان: | Return to Sports Activity After Microfracture for Osteochondral Lesion of the Talus in Skeletally Immature Children. |
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| المؤلفون: | Tomonaga S; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Jonan-ku, Fukuoka, Japan., Yoshimura I; Faculty of Sports and Health Science, Fukuoka University, Jonan-ku, Fukuoka, Japan., Hagio T; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Jonan-ku, Fukuoka, Japan., Ishimatsu T; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Jonan-ku, Fukuoka, Japan., Sugino Y; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Jonan-ku, Fukuoka, Japan., Fukagawa R; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Jonan-ku, Fukuoka, Japan., Taniguchi Y; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Jonan-ku, Fukuoka, Japan., Yamamoto T; Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Jonan-ku, Fukuoka, Japan. |
| المصدر: | Foot & ankle international [Foot Ankle Int] 2024 Jul; Vol. 45 (7), pp. 711-722. Date of Electronic Publication: 2024 Apr 03. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 9433869 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1944-7876 (Electronic) Linking ISSN: 10711007 NLM ISO Abbreviation: Foot Ankle Int Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2013- : Thousand Oaks, CA : Sage Publications Original Publication: Baltimore, MD : Williams & Wilkins, c1994- |
| مواضيع طبية MeSH: | Talus*/surgery , Talus*/injuries , Talus*/diagnostic imaging , Return to Sport* , Magnetic Resonance Imaging* , Arthroplasty, Subchondral*, Humans ; Adolescent ; Child ; Female ; Male ; Retrospective Studies ; Arthroscopy/methods ; Athletic Injuries/surgery ; Cartilage, Articular/surgery ; Cartilage, Articular/injuries ; Cartilage, Articular/diagnostic imaging ; Ankle Injuries/surgery |
| مستخلص: | Background: Osteochondral lesions of the talus (OLTs) are among the common sports-related injuries. However, there are few reports on the return to sports after OLT surgery in skeletally immature children. This study was performed to evaluate the return to sports after microfracture for OLTs in skeletally immature children. Methods: This study involved 17 ankles of 16 patients (mean age, 13.2 years; range, 10-16 years) with open tibial epiphyses on magnetic resonance imaging (MRI) who underwent microfracture for OLTs <10 mm in diameter and confirmation of lesion instability under arthroscopy. Nine of 17 ankles had additional lateral ankle ligament stabilization. All patients were participating in some form of sports. The Japanese Society for Surgery of the Foot (JSSF) score, Ankle Activity Score (AAS), return to sports rate, lesion size, grade of subchondral bone marrow edema, and Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) score on MRI were evaluated after microfracture. The mean postoperative follow-up period was 53.5 months. Results: The mean JSSF score significantly improved from 76.1 points preoperatively to 94.9 points at the final follow-up ( P < .01). The mean AAS showed no change from preoperative state to final follow-up. The return to sports rate was 100%. The lesion size significantly decreased from 76.3 to 56.7 mm 2 in area ( P = .02) and from 283.2 to 185.6 mm 3 in volume ( P = .05). The bone marrow edema grade decreased in 8 of 17 ankles. The total MOCART score showed a significant improvement from 6 months to 1 year postoperatively ( P = .05). Conclusion: All skeletally immature children who underwent microfracture for OLTs in this study were able to return to sports activity and showed improvements in clinical scores and MRI parameters. Microfracture may be considered an effective first-line treatment for OLTs <10 mm in diameter in skeletally immature athletes. Level of Evidence: Level IV, retrospective case-control study. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Disclosure forms for all authors are available online. |
| فهرسة مساهمة: | Keywords: Ankle Activity Score; microfracture; osteochondral lesion of the talus; return to sports; skeletally immature children |
| تواريخ الأحداث: | Date Created: 20240404 Date Completed: 20240730 Latest Revision: 20240730 |
| رمز التحديث: | 20240730 |
| DOI: | 10.1177/10711007241241067 |
| PMID: | 38571306 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1944-7876 |
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| DOI: | 10.1177/10711007241241067 |