{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:53:14Z","timestamp":1777881194713,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Osteochondral lesions of the ankle (OLA) often occur in athletes, necessitating a focus on sport outcomes such as return to sports (RTS) and return to performance (RTP). Only a few studies have evaluated sports outcomes after treatment of an osteochondral lesion in the athletic population, let alone in an elite athlete population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess RTS and RTP rates and times after treatment of OLA in elite athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All elite athletes treated for an OLA were selected from a cross-sectional database consisting of consecutive patients with cartilage injuries of the ankle until August 2022. Outcomes included RTS outcomes, patient-reported outcomes, and a quantitative assessment regarding mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 25 patients, with a median age of 22 years (interquartile range [IQR], 19-25 years), were included, with a median follow-up time of 48 months (IQR, 35-71 months). Six patients (24%) underwent nonoperative treatment, and 19 patients (76%) underwent operative treatment. Nonoperative treatment yielded RTS rates of 83% at any level, 67% at the preinjury level, and 67% for RTP. For operative treatment, these rates were 100%, 74%, and 63%, respectively. The median time to return to preinjury level was 7.5 months overall.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The different treatment options for OLAs allowed for adequate RTS and RTP outcomes. Overall, an RTS rate of 96% at any level, a return to the preinjury level of 72%, and an RTP of 64% were found. These sport-specific outcomes can inform athletes about their expected outcomes after different treatments for OLAs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671261422247","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T10:03:22Z","timestamp":1774951402000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Return to Sport and Performance After Treatment of Osteochondral Lesions of the Ankle in Elite Athletes: A Retrospective Study"],"prefix":"10.1177","volume":"14","author":[{"given":"Carlijn S.","family":"ter Laak Bolk","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands"},{"name":"Amsterdam Movement Sciences, Program in Sports and Musculoskeletal Health, Amsterdam, the Netherlands"},{"name":"Academic Center for Evidence-Based Sports 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