{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:18:10Z","timestamp":1790864290780,"version":"4.1.0"},"reference-count":44,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T00:00:00Z","timestamp":1737936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Beijing Natural Science FundHaidian Original Innovation Joint Fund","award":["L222064"],"award-info":[{"award-number":["L222064"]}]},{"name":"Clinical Cohort Construction Program of Peking University Third Hospital","award":["BYSYDL2022016"],"award-info":[{"award-number":["BYSYDL2022016"]}]},{"name":"Capital Health Research and Development of Special","award":["2022-2Z-40913"],"award-info":[{"award-number":["2022-2Z-40913"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Few studies reported the long-term clinical outcomes and joint degeneration of patients with chronic lateral ankle instability (CLAI) and small osteochondral lesions of the talus (OLTs) following simultaneous open modified Brostr\u00f6m-Gould (MBG) surgery and arthroscopic bone marrow stimulation (BMS). The purpose of this study was to study the long-term results of patients after BMS and BMG surgery, and to further evaluate the potential effect of OLT size on postoperative results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this retrospective study, 110 CLAI patients were divided into 57 patients with OLTs (including 24 patients having combined small osteochondral lesions of the tibial plafond) receiving simultaneous BMS and MBG surgeries (BMS+MBG group), and 53 patients without OLTs receiving isolated open MBG surgery (MBG group). The OLT size and pre- and postoperative Kellgren-Lawrence grade were assessed. The subjective scores (visual analog scale pain score, Tegner activity, and Karlsson-Peterson scores), surgical complications, and return to sports were also compared pre- and postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Patients were followed up at a mean of 144.2\u2009\u00b1\u200914.9 and 145.6\u2009\u00b1\u200911.4\u2009months for the BMS+MBG and MBG groups, respectively. Subjective scores were significantly improved (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001), and no difference was found in subjective scores or surgical complications between the 2 groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u2009.05). Both groups showed progression of osteoarthritis grade (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001), but with no significant difference of changes from the preoperative to the final follow-up (BMS+MBG group: 0.84\u2009\u00b1\u20090.75 to 1.32\u2009\u00b1\u20090.80; MBG group: 0.32\u2009\u00b1\u20090.48 to 0.86\u2009\u00b1\u20090.56, changes: 0.48\u2009\u00b1\u20090.59 vs 0.55\u2009\u00b1\u20090.51,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.575). For sports function, both groups had similar results in Tegner scores (5.8\u2009\u00b1\u20091.3 vs 6.2\u2009\u00b1\u20091.3,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.081). However, in a subgroup analysis, we found that in the BMS+MBG group, patients exceeding the mean size of OLTs (50 mm\n                      <jats:sup>2<\/jats:sup>\n                      ) were associated with an average lower postoperative Karlsson-Peterson score (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.025) and higher postoperative osteoarthritis grade (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.037), with more changes (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.017) than those with OLTs &lt;50 mm\n                      <jats:sup>2<\/jats:sup>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients with CLAI and small OLTs following simultaneous open MBG surgery and arthroscopic BMS showed good long-term outcomes and only mild progression of joint degeneration\u2014overall similar to patients treated for CLAI with MBG surgery. Moreover, as OLT size increased, good outcomes were less predictable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007241311858","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T13:25:32Z","timestamp":1738157132000},"page":"277-286","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Patients With Chronic Lateral Ankle Instability and Small Osteochondral Lesions of the Talus Obtain Good Postoperative Results: A Minimum 10-Year Follow-up With Radiographic Evidence"],"prefix":"10.1177","volume":"46","author":[{"given":"Tong","family":"Su","sequence":"first","affiliation":[{"name":"Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, 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Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanfang","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8611-871X","authenticated-orcid":false,"given":"Chen","family":"Jiao","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing 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