{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T15:32:48Z","timestamp":1789659168316,"version":"4.0.1"},"reference-count":36,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100009399","name":"peking university third hospital","doi-asserted-by":"publisher","award":["BYSYDL2024009"],"award-info":[{"award-number":["BYSYDL2024009"]}],"id":[{"id":"10.13039\/501100009399","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82272482"],"award-info":[{"award-number":["82272482"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Autologous osteoperiosteal transplantation (AOPT) is a promising treatment for large cystic osteochondral lesions of the talus (OLTs), but the influence of lesion laterality remains unclear. The purpose of this study was to compare the clinical and radiologic outcomes of lateral vs medial large cystic OLTs treated with AOPT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients with lateral or medial large cystic OLTs who underwent AOPT between 2010 and 2023 were retrospectively reviewed. Patients were propensity matched in 1:1 ratio on sex, age, body mass index, affected side, and lesion profiles (area, depth, volume). Clinical outcomes were assessed using the visual analog scale for pain (VAS), the Foot Ankle Outcome Score (FAOS), and the ankle activity score (AAS). The final FAOS score was designated as the primary outcome measure. Radiologic outcomes were evaluated using the MOCART (magnetic resonance observation of cartilage repair tissue) 2.0 ankle score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 22 matched patients per group were included, with a mean follow-up of 84.6\u2009\u00b1\u200945.9\u2009months. The lateral group comprised 20 males and 2 females (mean age, 40.4\u2009\u00b1\u200911.2\u2009years), whereas the medial group included 18 males and 4 females (mean age, 38.0\u2009\u00b1\u20098.4\u2009years). Both groups demonstrated significant improvements in total FAOS scores (lateral: 53.4\u2009\u00b1\u200913.8 to 87.2\u2009\u00b1\u200910.1,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001; medial: 51.1\u2009\u00b1\u200912.6 to 89.7\u2009\u00b1\u20098.4,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and in all secondary clinical outcomes at final follow-up (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001), with no intergroup differences (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05). Similarly, there were no significant differences in the total MOCART 2.0 ankle score (73.8\u2009\u00b1\u200910.7 vs 73.0\u2009\u00b1\u20099.9; nonsignificant) or in any of its individual subcomponents.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This cohort study demonstrated that AOPT yields comparable mid\u2011 to long\u2011term clinical and radiologic outcomes for medial and lateral large cystic OLTs, and that radiologic results were not significantly associated with clinical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007261420177","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T09:32:27Z","timestamp":1774863147000},"page":"592-603","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Autologous Osteoperiosteal Transplantation Provides Comparable Clinical and Radiologic Outcomes for Lateral and Medial Large Cystic Osteochondral Lesions of the Talus: A Propensity Score\u2013Matched Comparative Analysis"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1548-2028","authenticated-orcid":false,"given":"Shuai","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China"},{"name":"Beijing Key Laboratory of Research and Translation for Drugs and Medical Devices in Precision Diagnosis and Treatment of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziming","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China"},{"name":"Beijing Key Laboratory of Research and Translation for Drugs and Medical Devices in Precision Diagnosis and Treatment of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenxin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China"},{"name":"Beijing Key Laboratory of Research and Translation for Drugs and Medical Devices in Precision Diagnosis and Treatment of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China"},{"name":"Beijing Key Laboratory of Research and Translation for Drugs and Medical Devices in Precision Diagnosis and Treatment of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengyi","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China"},{"name":"Beijing Key Laboratory of Research and Translation for Drugs and Medical Devices in Precision Diagnosis and Treatment of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qirui","family":"Shao","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China"},{"name":"Beijing Key Laboratory of Research and Translation for Drugs and Medical Devices in Precision Diagnosis and Treatment of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China"},{"name":"Beijing Key Laboratory of Research and Translation for Drugs and Medical Devices in Precision Diagnosis and Treatment of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xing","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China"},{"name":"Beijing Key Laboratory of Research and Translation for Drugs and Medical Devices in Precision Diagnosis and Treatment of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, 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