{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:41:40Z","timestamp":1787838100894,"version":"build-2784847793"},"reference-count":47,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T00:00:00Z","timestamp":1735084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T00:00:00Z","timestamp":1735084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T00:00:00Z","timestamp":1735084800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T00:00:00Z","timestamp":1735084800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004829","name":"Science and Technology Department of Sichuan Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004829","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012542","name":"Sichuan Province Science and Technology Support Program","doi-asserted-by":"publisher","award":["2023YFG0221"],"award-info":[{"award-number":["2023YFG0221"]}],"id":[{"id":"10.13039\/100012542","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the effect of concomitant chronic lateral ankle instability (CLAI) on postoperative clinical outcomes in patients with osteochondral lesions of the talus (OLTs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients who underwent surgery for OLTs between January 2018 and May 2022 were retrospectively evaluated. OLT patients underwent debridement, microfracture, or bone grafting, whereas patients with concomitant CLAI underwent lateral ligament repair or reconstruction. Functional assessments included the visual analog scale score, American Orthopaedic Foot &amp; Ankle Society (AOFAS) score, Foot and Ankle Outcome Score (FAOS), and Tegner score, with a minimum follow\u2010up of 24 months. Cartilage repair was evaluated using Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) 1 and MOCART 2.0 scores based on postoperative magnetic resonance imaging. Additionally, multiple linear regression analysis was performed to explore the effects of potential factors, and Spearman correlation coefficients (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>s<\/jats:sub>\n                      ) were calculated to assess the relationship between these factors and outcome scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 85 patients were included, with 39 in the OLT group and 46 in the OLT\u2010CLAI group. The mean follow\u2010up times were 46.95 \u00b1 17.00 months (range, 24\u201076 months) and 41.80 \u00b1 15.10 months (range, 24\u201076 months), respectively (\n                      <jats:italic>P<\/jats:italic>\n                      = .347). Compared with the OLT group, the OLT\u2010CLAI group showed lower postoperative AOFAS and FAOS scores, with a significantly smaller overall improvement in the AOFAS score (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). There was no significant difference in the number of patients achieving the minimal clinically important difference in functional scores between the groups. Multiple linear regression analysis showed that CLAI surgery negatively affected postoperative AOFAS (standardized \u03b2 = \u22120.344,\n                      <jats:italic>P<\/jats:italic>\n                      = .001) and FAOS (standardized \u03b2 = \u22120.332,\n                      <jats:italic>P<\/jats:italic>\n                      = .001) scores, with Spearman analysis indicating a moderate correlation (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>s<\/jats:sub>\n                      = \u22120.442 [\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001] and\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>s<\/jats:sub>\n                      = \u22120.339 [\n                      <jats:italic>P<\/jats:italic>\n                      = .002], respectively). No significant differences were observed between the groups in terms of MOCART 1 (61.52 \u00b1 12.38 vs 65.89 \u00b1 14.47) or MOCART 2.0 (68.70 \u00b1 16.53 vs 73.75 \u00b1 14.76) scores (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05), and multiple linear regression as well as Spearman analysis did not yield positive results.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>OLT patients with concomitant CLAI had lower postoperative functional outcomes than those without CLAI. However, after surgical treatment of CLAI, cartilage repair in OLT patients was not affected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.12.025","type":"journal-article","created":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T02:19:43Z","timestamp":1735179583000},"page":"3012","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Concomitant Chronic Lateral Ankle Instability Affects Postoperative Functional Outcomes in Patients With Osteochondral Lesions of the Talus but Does Not Affect Cartilage Repair After Restoration of Ankle Stability"],"prefix":"10.1002","volume":"41","author":[{"given":"Jiayao","family":"Zhang","sequence":"first","affiliation":[{"name":"Sports Medicine Center West China Hospital Sichuan University Chengdu China"},{"name":"Department of Orthopedics and Orthopedic Research Institute West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wufeng","family":"Cai","sequence":"additional","affiliation":[{"name":"Sports Medicine Center West China Hospital Sichuan University Chengdu China"},{"name":"Department of Orthopedics and Orthopedic Research Institute West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiumei","family":"Zhao","sequence":"additional","affiliation":[{"name":"Operating Room Department of Anesthesiology West China Hospital Sichuan University\/West China School of Nursing Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiyuan","family":"Sun","sequence":"additional","affiliation":[{"name":"Day Surgery Center West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiteng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiology West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjing","family":"Ma","sequence":"additional","affiliation":[{"name":"Sports Medicine Center West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Li","sequence":"additional","affiliation":[{"name":"Sports Medicine Center West China Hospital Sichuan University Chengdu China"},{"name":"Department of Orthopedics and Orthopedic Research Institute West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenghao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Sports Medicine Center West China Hospital Sichuan University Chengdu China"},{"name":"Department of Orthopedics and Orthopedic Research Institute West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Li","sequence":"additional","affiliation":[{"name":"Sports Medicine Center West China Hospital Sichuan University Chengdu China"},{"name":"Department of Orthopedics and Orthopedic Research Institute West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,25]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509335765"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.10.019"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221084365"},{"key":"e_1_2_5_5_1","article-title":"Autologous matrix\u2010induced chondrogenesis with lateral ligament stabilization for osteochondral lesions of the talus in patients with ankle instability","volume":"9","author":"Ackermann J.","year":"2021","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2022.01.005"},{"key":"e_1_2_5_7_1","article-title":"Influence of subchondral cysts on the outcomes of surgical treatment for osteochondral lesions of the talus: A systematic review and meta\u2010analysis","volume":"12","author":"Zhang J.","year":"2024","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715581477"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-02968-y"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.05.006"},{"key":"e_1_2_5_11_1","article-title":"Risk factors for osteochondral lesions and osteophytes in chronic lateral ankle instability: A case series of 1169 patients","volume":"8","author":"Wang D.Y.","year":"2020","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.7547\/19-101"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509351556"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06172-5"},{"key":"e_1_2_5_15_1","doi-asserted-by":"crossref","unstructured":"X.Cheng T.Su J.Li et al.Effect of cigarette smoking on postoperative outcomes after arthroscopic bone marrow stimulation for osteochondral lesions of the talus. Foot Ankle Int2024Article No. 10711007241250007","DOI":"10.1177\/10711007241250007"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.03.029"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-05954-1"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200811000-00004"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.02.023"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00675"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720980020"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-010-1227-8"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506287296"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211008097"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2018.07.003"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2018.09.005"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3789-z"},{"key":"e_1_2_5_28_1","article-title":"Chronic lateral ankle instability treated with tendon allografting: A preliminary comparison of arthroscopic and open anatomic ligament reconstruction","volume":"10","author":"Yang K.C.","year":"2022","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_5_29_1","article-title":"A novel medial malleolar osteotomy technique for the treatment of osteochondral lesions of the talus","volume":"9","author":"Hu Y.","year":"2021","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_5_30_1","article-title":"Lesion size measured on MRI does not accurately reflect arthroscopic measurement in talar osteochondral lesions","volume":"7","author":"Yasui Y.","year":"2019","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0154"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12301"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2005.08.007"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513476671"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/1947603519865308"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.01.038"},{"key":"e_1_2_5_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13244-024-01696-7"},{"key":"e_1_2_5_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.04.034"},{"key":"e_1_2_5_39_1","article-title":"Influence of pelvic rotation on lower extremity kinematics, elbow varus torque, and ball velocity in professional baseball pitchers","volume":"10","author":"Dowling B.","year":"2022","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_5_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4748-7"},{"key":"e_1_2_5_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4591-x"},{"key":"e_1_2_5_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/1947603520946382"},{"key":"e_1_2_5_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-2913-9"},{"key":"e_1_2_5_44_1","first-page":"643","article-title":"Survival of autologous osteochondral grafts in the knee and factors influencing outcome","volume":"78","author":"Robb C.A.","year":"2012","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_5_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-022-02155-y"},{"key":"e_1_2_5_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-014-1969-9"},{"key":"e_1_2_5_47_1","article-title":"Outcomes of single\u2010stage versus staged treatment of osteochondral lesions in patients with chronic lateral ankle instability: A prospective randomized study","volume":"10","author":"Wei Y.","year":"2022","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_5_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2019.02.003"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806324010892?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806324010892?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2024.12.025","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2024.12.025","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2024.12.025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:29:03Z","timestamp":1773566943000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2024.12.025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,25]]},"references-count":47,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1016\/j.arthro.2024.12.025"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2024.12.025","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,25]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Concomitant Chronic Lateral Ankle Instability Affects Postoperative Functional Outcomes in Patients With Osteochondral Lesions of the Talus but Does Not Affect Cartilage Repair After Restoration of Ankle Stability","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2024.12.025","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}