{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:27:36Z","timestamp":1787502456098,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2013,4,10]],"date-time":"2013-04-10T00:00:00Z","timestamp":1365552000000},"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":["Foot Ankle Int."],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Numerous modalities are used today to treat symptomatic osteochondral lesions in the ankle. However, there are ongoing challenges with the treatment of certain lesions, and concerns exist regarding long-term effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The purpose of the study was to collect clinical outcomes of pain and function in retrospectively and prospectively enrolled patients treated with particulated juvenile cartilage for symptomatic osteochondral lesions in the ankle. This study collected outcomes and incidence of reoperations in standard clinic patients. The analysis presented here includes final follow-up to date for 12 males and 11 females representing 24 ankles. Subjects had an average age at surgery of 35.0 years and an average body mass index of 28 \u00b1 5.8. Fourteen ankles had failed at least 1 prior bone marrow stimulation procedure. The average lesion size was 125 \u00b1 75 mm\n                      <jats:sup>2<\/jats:sup>\n                      , and the average depth was 7 \u00b1 5 mm. In conjunction with the treatment, 9 (38%) ankles had 1 concomitant procedure and 9 (38%) had more than 1 concomitant procedure. Clinical evaluations were performed with an average follow-up of 16.2 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Average outcome scores at final follow-up were American Orthopaedic Foot &amp; Ankle Society Ankle-Hindfoot Scale 85 \u00b1 18 with 18 (78%) ankles demonstrating good to excellent scores, Short-Form 12 Health Survey (SF12) physical composite score 46 \u00b1 10, SF12 mental health composite score 55 \u00b1 7.1, Foot and Ankle Ability Measure (FAAM) activities of daily living 82 \u00b1 14, FAAM Sports 63 \u00b1 27, and 100-mm visual analog scale for pain 24 \u00b1 25. Outcomes data divided by lesion size demonstrated 92% (12\/13) good to excellent results in lesions 10 mm or larger and those smaller than 15 mm. To date, 1 partial graft delamination has been reported at 16 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Preliminary data from a challenging clinical population with large, symptomatic osteochondral lesions in the ankle suggest that treatment with particulated juvenile cartilage could improve function and decrease pain. Longer follow-up and additional subjects are needed to evaluate improvement level and ideal patient indications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100713485739","type":"journal-article","created":{"date-parts":[[2013,4,11]],"date-time":"2013-04-11T00:23:40Z","timestamp":1365639820000},"page":"1205-1211","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":104,"title":["Treatment of Osteochondral Lesions of the Talus With Particulated Juvenile Cartilage"],"prefix":"10.1177","volume":"34","author":[{"given":"J. Chris","family":"Coetzee","sequence":"first","affiliation":[{"name":"Minnesota Orthopedic Sports Medicine Institute (MOSMI) at Twin Cities Orthopedics, and Fairview\/MOSMI Medicine Fellowship Faculty, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Giza","sequence":"additional","affiliation":[{"name":"University of California, Davis Medical Center, and University of California, Davis, Sacramento, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lew C.","family":"Schon","sequence":"additional","affiliation":[{"name":"Union Memorial Orthopedics and Sports Medicine, and Johns Hopkins University, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory C.","family":"Berlet","sequence":"additional","affiliation":[{"name":"Orthopedic Foot and Ankle Center, Westerville, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Neufeld","sequence":"additional","affiliation":[{"name":"Orthopaedic Foot & Ankle Center of Washington, Falls Church, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca M.","family":"Stone","sequence":"additional","affiliation":[{"name":"Minnesota Orthopedic Sports Medicine Institute at Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin L.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Zimmer Orthobiologics, Inc, Austin, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,4,10]]},"reference":[{"key":"bibr1-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1097\/BTF.0b013e31821c4fce"},{"key":"bibr2-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510381575"},{"key":"bibr3-1071100713485739","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1998.28.4.192"},{"key":"bibr4-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509335765"},{"key":"bibr5-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.07.022"},{"key":"bibr6-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.09.028"},{"key":"bibr7-1071100713485739","first-page":"28","volume":"87","author":"Giannini S","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"bibr8-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507312644"},{"key":"bibr9-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507312644"},{"key":"bibr10-1071100713485739","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0747"},{"key":"bibr11-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.05.016"},{"issue":"3","key":"bibr12-1071100713485739","first-page":"296","volume":"123","author":"Guo QW","year":"2010","journal-title":"Chin Med J (Engl)"},{"key":"bibr13-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-7515(03)00017-2"},{"key":"bibr14-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1177\/1938640010388602"},{"key":"bibr15-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300031601"},{"key":"bibr16-1071100713485739","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173020-00021"},{"key":"bibr17-1071100713485739","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199909000-00004"},{"key":"bibr18-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0914-x"},{"key":"bibr19-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502601113"},{"key":"bibr20-1071100713485739","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0090"},{"issue":"8","key":"bibr21-1071100713485739","first-page":"2491","volume":"53","author":"Rifat SF","year":"1996","journal-title":"Am Fam Physician"},{"key":"bibr22-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B7.13959"},{"key":"bibr23-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507303561"},{"key":"bibr24-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.10.019"},{"key":"bibr25-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-7515(02)00064-5"},{"issue":"1","key":"bibr26-1071100713485739","first-page":"93","volume":"63","author":"Wolfe MW","year":"2001","journal-title":"Am Fam Physician"},{"key":"bibr27-1071100713485739","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0942-6"}],"container-title":["Foot &amp; 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