{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T19:27:38Z","timestamp":1784230058886,"version":"3.55.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of the present study was to evaluate intermediate-term outcomes of Chevron osteotomy for treatment of osteochondral lesions of the talus with mosaicplasty and to assess its effect on surgery and whether it reduces complications that might occur intraoperatively.\nMethods: The present study included a total of 42 patients (31 men and 11 women) who underwent Chevron osteotomy of the medial malleolus and who had been followed for more than 2 years. Mean age of the patients was 34 years (range: 18\u201354 years). Preoperatively, size of the lesions was measured in millimeters in the coronal and sagittal planes using magnetic resonance imaging (MRI). The angle between the osteotomy with the long axis of the tibia was measured on the coronal plane, the angle between the arms and the angle for the screws to be directed to the osteotomy line were measured on the sagittal plane on the postoperative images. Nonunion, malunion, and complications from the screws were evaluated from X-ray images taken at the final follow-up.\nResults: Mean duration for follow-up was 31.4 years (range: 24\u201346). On the X-ray images taken at the final follow-up, no distraction, migration of the distal part, or rotation was observed. Only 1 patient experienced radiological non-union. Mean duration to union was 5.8 weeks (range: 4\u201314 weeks). Screws of 8 patients were removed at an average of 7.4 months (range: 5\u201311 months). The angle between the osteotomy line and long axis of the tibia was 29.0\u00b0\u00b16.5\u00b0, the angel between the osteotomy arms on the sagittal plane was 74.7\u00b0\u00b18.3\u00b0, and the direction angle of the screws on the coronal plane was 85.7\u00b0\u00b15.9\u00b0.\nConclusion: Chevron osteotomy is an assistive surgical method used for treatment of osteochondral lesions located in the medial talar joint surface (TOL) which provides fast anatomical healing because it allows efficient fixation due to its geometry.\n \n\n \n\nDOI: 10.3944\/AOTT.2015.14.0186\n \n\n \n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 talusun medialindeki osteokondral lezyonlar\u0131n\u0131n mozaikplasti ile tedavisi s\u0131ras\u0131nda tercih etti\u011fimiz Chevron osteotomisinin orta d\u00f6nem sonu\u00e7lar\u0131n\u0131 de\u011ferlendirerek cerrahiye katk\u0131s\u0131n\u0131 ve osteotomi alan\u0131nda olu\u015fabilecek komplikasyonlar\u0131 azalt\u0131p azaltmad\u0131\u011f\u0131n\u0131 radyolojik olarak de\u011ferlendirmektir.\u00c7al\u0131\u015fma plan\u0131: Mozaikplasti s\u0131ras\u0131nda Chevron tipi medial malleol osteotomisi yap\u0131lan ve takip s\u00fcresi iki y\u0131ldan uzun olan 42 hasta (31 erkek, 11 kad\u0131n) \u00e7al\u0131\u015fmaya al\u0131nd\u0131. Ortalama ya\u015f 34 (da\u011f\u0131l\u0131m 18\u201354) y\u0131ld\u0131. Preoperatif d\u00f6nemde MRI \u00fczerinden lezyonun boyutlar\u0131 koronal ve sagital planda milimetre (mm) cinsinden \u00f6l\u00e7\u00fcld\u00fc. Postoperatif grafiler \u00fczerinden osteotominin koronal planda tibia uzun aks\u0131 ile yapt\u0131\u011f\u0131 a\u00e7\u0131, sagital planda kollar aras\u0131ndaki a\u00e7\u0131 ve vidalar\u0131n osteotomi hatt\u0131na g\u00f6nderilme a\u00e7\u0131s\u0131 \u00f6l\u00e7\u00fcld\u00fc. Son kontrol s\u0131ras\u0131nda \u00e7ekilen grafilerde kaynamama, yanl\u0131\u015f kaynama ve vidalara ba\u011fl\u0131 komplikasyonlar de\u011ferlendirildi.Bulgular: Hastalar\u0131n ortalama takip s\u00fcresi 31,4 ayd\u0131. Son kontrol grafilerinde distraksiyon, distal par\u00e7ada migrasyon veya rotasyon g\u00f6zlenmedi. Sadece bir hastada radyolojik kaynamama vard\u0131. Ortalama kaynama s\u00fcresi 5,8 haftayd\u0131. 8 hastan\u0131n vidalar\u0131 ortalama 7.4 ayda \u00e7\u0131kar\u0131ld\u0131. Osteotomi hatt\u0131n\u0131n tibian\u0131n uzun ekseni ile olan ortalama a\u00e7\u0131s\u0131 29,0\u00b0\u00b16,5\u00b0, koronal planda osteotomi kollar\u0131 aras\u0131ndaki a\u00e7\u0131 74,7\u00b0\u00b18,3\u00b0 ve vidalar\u0131n koronal planda g\u00f6nderilme a\u00e7\u0131s\u0131 85,7\u00b0\u00b15,9\u00b0 olarak bulundu.\u00c7\u0131kar\u0131mlar: Chevron osteotomisi, talus medialinde bulunan osteokondral lezyonlar\u0131n tedavisi i\u00e7in kullan\u0131lan g\u00fcvenli bir yard\u0131mc\u0131 cerrahi y\u00f6ntem olmakla birlikte ve geometrisi sayesinde etkin bir tespite izin verdi\u011fi i\u00e7in h\u0131zl\u0131 ve anatomik iyile\u015fmeyi sa\u011flayan bir y\u00f6ntemdir<\/jats:p>","DOI":"10.3944\/aott.2015.14.0186","type":"journal-article","created":{"date-parts":[[2015,7,15]],"date-time":"2015-07-15T04:21:34Z","timestamp":1436934094000},"page":"399-404","source":"Crossref","is-referenced-by-count":4,"title":["Chevron osteotomy in patients with scheduled osteotomy of the medial malleolus"],"prefix":"10.5152","volume":"49","author":[{"given":"Murat","family":"Gul","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umut","family":"Yavuz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Engin","family":"\u00c7etinkaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00dcmit","family":"Aykut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bar\u0131\u015f","family":"\u00d6zkul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yavuz","family":"Kabuk\u00e7uo\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3002\/2955","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:09:00Z","timestamp":1763464140000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2015,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0186","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}