{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:34:15Z","timestamp":1777390455023,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T00:00:00Z","timestamp":1711324800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Fresh osteochondral allograft (OCA) transplantation is a viable treatment option for osteochondral defects of the talus. However, sufficient data are not available on patients\u2019 participation in sports or recreational activities after the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess whether patients undergoing OCA transplantation of the talus participated in sports or recreational activities postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 36 ankles in 34 patients underwent OCA transplantation of the talus. At a mean follow-up of 9.2 years, information on participation in sports or recreational activities pre- and postoperatively was obtained, as well as postoperative pain, function, and satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean age at the time of surgery was 36.1 years (range, 20.5-57.7 years), and 50% of patients were men. The mean graft size was 3.6 cm\n                      <jats:sup>2<\/jats:sup>\n                      (range, 1-7.2 cm\n                      <jats:sup>2<\/jats:sup>\n                      ) or 41.1% of the talar dome. Before the injury, 63.9% of patients (23\/36 ankles) reported being highly competitive athletes or well trained and frequently sporting; 36.1% of patients (13\/36 ankles) reported sometimes sporting or were nonsporting. Also, 66.7% of patients (24\/36 ankles) were able to participate in sports or recreational activities after OCA transplantation and 50% (18\/36 ankles) were still participating in sports or recreational activities at the latest follow-up. In a subset of well-trained or highly competitive athletes, 73.9% (17\/23 ankles) were able to return to sports or recreational activities at any point after OCA transplantation, and 65.2% (15\/23 ankles) were still participating at the latest follow-up. Further surgery occurred in 16.7% of patients (6\/36 ankles). Graft survivorship was 94.3% at 5 years and 85.3% at 10 years. There was a significant improvement in the mean Olerud-Molander Ankle Scores, and the mean Foot and Ankle Ability Measure scores were high postoperatively. Moreover, 79.4% of patients (27\/34 ankles) were either satisfied or extremely satisfied with the allograft surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Fresh OCA transplantation is a reasonable surgical option for osteochondral defects of the talus for young, active patients who have failed previous operative management or have massive defects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465241234890","type":"journal-article","created":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T03:02:40Z","timestamp":1711335760000},"page":"1258-1264","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Participation in Sports or Recreational Activities After Osteochondral Allograft Transplantation of the Talus"],"prefix":"10.1177","volume":"52","author":[{"given":"Joseph W.","family":"Fiske","sequence":"first","affiliation":[{"name":"Touro University California, College of Osteopathic Medicine, Vallejo, California, USA"},{"name":"Shiley Center for Orthopaedic Research and Education at Scripps Clinic, La Jolla, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aliasgar H.","family":"Dalal","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Saint Louis University, Saint Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie C.","family":"McCauley","sequence":"additional","affiliation":[{"name":"Shiley Center for Orthopaedic Research and Education at Scripps Clinic, La Jolla, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William D.","family":"Bugbee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Scripps Clinic, La Jolla, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,25]]},"reference":[{"key":"bibr1-03635465241234890","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00141"},{"key":"bibr2-03635465241234890","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-016-0066-0"},{"key":"bibr3-03635465241234890","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600801"},{"key":"bibr4-03635465241234890","first-page":"30","volume":"34","author":"Bisicchia S","year":"2014","journal-title":"Iowa Orthop 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