{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T23:54:58Z","timestamp":1793922898400,"version":"4.8.0"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2009,9,25]],"date-time":"2009-09-25T00:00:00Z","timestamp":1253836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2010,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The purpose of the present study was to evaluate the outcomes of arthroscopic microfracture for isolated osteochondral lesions of the talus without combined lesions, in patients of less than 50 years old with lesions of &lt;1.5\u00a0cm<jats:sup>2<\/jats:sup>. Thirty\u2010five patients (35 ankles) with isolated osteochondral lesions of the talus were treated by arthroscopic microfracture. There were 27\u00a0men and 8 women of average age 35 years (range 17\u201350) and mean body mass index (BMI) 25\u00a0kg\/m<jats:sup>2<\/jats:sup> (range 20\u201334) at the time of surgery. Clinical outcome evaluations were performed at a mean follow\u2010up of 33\u00a0months. Overall results, as determined using American Orthopaedic Foot and Ankle Society (AOFAS) Ankle\u2010Hindfoot scores, were excellent in 16 (46%), good in 15 (43%), and fair in 4 (11%). Mean AOFAS scores improved from 63 points (range 52\u201377) preoperatively to 90 points (range 73\u2013100) at final follow\u2010up, median Ankle Activity Score (AAS) from 3 points (range 1\u20135) to 6 points (range 3\u20138), mean Visual Analogue Scale (VAS) scores from 7 points (range 5\u20138) to 2 points (range 0\u20135), and mean Short Form\u201036 scores showed improvements in physical function, role limitation, bodily pain, social function, and general health (<jats:italic>P<\/jats:italic> &lt; 0.05). In terms of prognostic factors, a longer symptom duration was found to negatively affect outcome, as determined by AOFAS scores, AAS, and VAS scores. Arthroscopic microfracture for isolated osteochondral lesions of the talus is a safe and effective procedure, which provides good clinical outcomes in the majority of patients.<\/jats:p>","DOI":"10.1007\/s00167-009-0914-x","type":"journal-article","created":{"date-parts":[[2009,9,24]],"date-time":"2009-09-24T14:58:26Z","timestamp":1253804306000},"page":"247-253","source":"Crossref","is-referenced-by-count":99,"title":["Arthroscopic microfracture for osteochondral lesions of the talus"],"prefix":"10.1002","volume":"18","author":[{"given":"Keun\u2010Bae","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Chonnam National University Medical School and Hospital 8 Hakdong, Donggu 501\u2010757 Gwangju Korea"},{"name":"The Brain Korea 21\u00a0Project Center for Biomedical Human Resources at Chonnam National University Gwangju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long\u2010Bin","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Chonnam National University Medical School and Hospital 8 Hakdong, Donggu 501\u2010757 Gwangju Korea"},{"name":"The Brain Korea 21\u00a0Project Center for Biomedical Human Resources at Chonnam National University Gwangju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae\u2010Yoon","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Chonnam National University Medical School and Hospital 8 Hakdong, Donggu 501\u2010757 Gwangju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong\u2010Keun","family":"Seon","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Chonnam National University Medical School and Hospital 8 Hakdong, Donggu 501\u2010757 Gwangju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,9,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971080-00004"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600801"},{"key":"e_1_2_6_4_1","unstructured":"ChengMS FerkelRD ApplegateGR(1995)Osteochondral lesions of the talus: a radiologic and surgical comparison.Oral presented at: Annual Meeting of the American Academy of Orthropaedic Surgeons; 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