{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T23:53:53Z","timestamp":1780617233869,"version":"3.54.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,2,23]],"date-time":"2020-02-23T00:00:00Z","timestamp":1582416000000},"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":[[2020,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>While smaller talar dome osteochondral lesions (OCLs) are successfully treated with bone marrow stimulation techniques, the optimal treatment for large or cystic OCLs remains controversial. This study tested the hypothesis that transferring structural autograft bone from the distal tibia to the talus for large or cystic OCLs improves pain and function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Thirty-two patients with large or cystic OCLs underwent structural bone grafting from the ipsilateral distal tibia to the talar dome. Patients were assessed with subjective patient-centered tools and objective clinical outcomes. Average age was 48.6 \u00b1 14.9 years, and average follow-up was 19.5 \u00b1 13.3 months. Average lesion area was 86.2 \u00b1 23.5 mm\n                      <jats:sup>2<\/jats:sup>\n                      , and average depth was 8.4 \u00b1 3.0mm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At final follow-up, improvement compared to preoperative scores was seen in American Orthopaedic Foot &amp; Ankle Society (65.4 \u00b1 21.2 to 86.9 \u00b1 15.0, P &lt; .05), Foot Function Index (48.9 \u00b1 20.8 to 21.1 \u00b1 18.9, P &lt; .05), visual analog scale for pain (4.7 \u00b1 3.0 to 1.4 \u00b1 1.5, P &lt; .05), and Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (40.4 \u00b1 5.4 to 45.5 \u00b1 7.4, P &lt; .05) scores. There was no improvement in PROMIS pain interference (54.7 \u00b1 18.1 to 52.4 \u00b1 7.3, P &gt; .05). Satisfaction with surgery was 8.4 \u00b1 1.3\/10, and 96% of patients would have the procedure again. Ninety-four percent of patients returned to work and\/or play. One patient had a deep vein thrombosis 6 weeks postoperatively, and 1 patient underwent ankle fusion at 18 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study demonstrates that structural bone graft harvested from the distal tibia transferred to the talus was a safe and effective treatment for large and cystic OCLs. Outcomes compare favorably to other described techniques for treatment of these injuries.<\/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\/1071100720907313","type":"journal-article","created":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T00:31:32Z","timestamp":1582504292000},"page":"549-555","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Patient-Reported Outcomes After Structural Autograft for Large or Cystic Talar Dome Osteochondral Lesions"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9364-5750","authenticated-orcid":false,"given":"Todd","family":"Kim","sequence":"first","affiliation":[{"name":"Palo Alto Medical Foundation, University of California, San Francisco, Burlingame, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Haskell","sequence":"additional","affiliation":[{"name":"Palo Alto Medical Foundation, University of California, San Francisco, Burlingame, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,2,23]]},"reference":[{"key":"bibr1-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717709571"},{"key":"bibr2-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.02.027"},{"key":"bibr3-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509335765"},{"key":"bibr4-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.07.022"},{"key":"bibr5-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.11.025"},{"key":"bibr6-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717745502"},{"key":"bibr7-1071100720907313","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0154"},{"key":"bibr8-1071100720907313","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00900"},{"key":"bibr9-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3389-3"},{"key":"bibr10-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512467622"},{"key":"bibr11-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507312644"},{"key":"bibr12-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714548704"},{"key":"bibr13-1071100720907313","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0747"},{"key":"bibr14-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.05.016"},{"key":"bibr15-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2784-5"},{"key":"bibr16-1071100720907313","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0277"},{"key":"bibr17-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.01.041"},{"key":"bibr18-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1186\/s12880-016-0169-1"},{"key":"bibr19-1071100720907313","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0591"},{"key":"bibr20-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2014.11.010"},{"key":"bibr21-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/1947603511400726"},{"key":"bibr22-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118765448"},{"key":"bibr23-1071100720907313","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00773"},{"key":"bibr24-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714528493"},{"key":"bibr25-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718766596"},{"key":"bibr26-1071100720907313","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0231"},{"key":"bibr27-1071100720907313","doi-asserted-by":"publisher","DOI":"10.5334\/jbr-btr.1377"},{"key":"bibr28-1071100720907313","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00398"},{"key":"bibr29-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507303561"},{"key":"bibr30-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117704634"},{"key":"bibr31-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2714-6"},{"key":"bibr32-1071100720907313","doi-asserted-by":"publisher","DOI":"10.1016\/j.rco.2008.09.003"}],"container-title":["Foot &amp; 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