{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T23:52:27Z","timestamp":1780617147713,"version":"3.54.1"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T00:00:00Z","timestamp":1599091200000},"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":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Medial malleolar osteotomy is an established procedure for accessing the medial localized osteochondral lesions of the talus. The purpose of this study was to describe a single approach, which allows perpendicular access to the lesion without a malleolar osteotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Six patients were treated surgically for medial localized talar osteochondral lesions. Four patients had stage III and 2 patients had stage IV lesions. A single posteromedial approach was used for accessing the medial talar dome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The method of treatment was mosaicplasty in 4 patients and osteochondral fragment fixation in 2 patients. One patient who was treated with a fragment fixation procedure showed screw loosening. Incorporation of the osteochondral grafts was proved by magnetic resonance imaging in all mosaicplasty cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A single posteromedial approach was sufficient in the posteromedial localized osteochondral lesion of the talus. As the lesion was approached by soft tissue exposure only, a malleolar osteotomy was not required. Thus, osteotomy-related complications were avoided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100720948842","type":"journal-article","created":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T07:18:02Z","timestamp":1599117482000},"page":"17-22","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Posteromedial Approach for Osteochondral Lesions of the Talus"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0184-8850","authenticated-orcid":false,"given":"Bilgehan","family":"Tosun","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, School of Medicine, Kocaeli University, Izmit, Kocaeli, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,9,3]]},"reference":[{"key":"bibr1-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715603191"},{"key":"bibr2-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1177\/107110079101100413"},{"key":"bibr3-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-013-2076-1"},{"key":"bibr4-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.10.021"},{"key":"bibr5-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1097\/00132587-200403000-00009"},{"key":"bibr6-1071100720948842","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195941060-00002"},{"key":"bibr7-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1177\/107110078500500403"},{"key":"bibr8-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1039773"},{"key":"bibr9-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B2.0840237"},{"key":"bibr10-1071100720948842","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v8.i1.12"},{"key":"bibr11-1071100720948842","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.02010"},{"key":"bibr12-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200704"},{"key":"bibr13-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.96B2.31637"},{"key":"bibr14-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902001206"},{"issue":"6","key":"bibr15-1071100720948842","first-page":"608","volume":"86","author":"Jarde O","year":"2000","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"bibr16-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2009.06.005"},{"key":"bibr17-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506287296"},{"key":"bibr18-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.64B4.7096430"},{"key":"bibr19-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102201107"},{"key":"bibr20-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1177\/036354658401200611"},{"key":"bibr21-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002100205"},{"key":"bibr22-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-010-1227-8"},{"key":"bibr23-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-7515(02)00064-5"},{"key":"bibr24-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2018.11.009"},{"key":"bibr25-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-1019-2"},{"key":"bibr26-1071100720948842","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0942-6"}],"container-title":["Foot &amp; 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