ReviewSports medicine (Auckland, N.Z.)2012
Rehabilitation and return-to-sports activity after debridement and bone marrow stimulation of osteochondral talar defects.
Review in Sports medicine (Auckland, N.Z.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Limited evidence of adjuvant biologics with bone marrow stimulation for the treatment of osteochondral lesion of the talus: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Postoperative Management of Osteochondral Lesions of the Ankle: A Survey Among German-Speaking Foot and Ankle Surgeons.Cartilage · 2024Article
- Article
- Bone marrow stimulation in arthroscopic rotator cuff repair is a cost-effective and straightforward technique to reduce retear rates: A systematic review and meta-analysis.Frontiers in surgery · 2023Review
- Etanercept embedded silk fibroin/pullulan hydrogel enhance cartilage repair in bone marrow stimulation.Frontiers in bioengineering and biotechnology · 2022Article
- Impact of Early Weightbearing After Ankle Arthroscopy and Bone Marrow Stimulation for Osteochondral Lesions of the Talus.Orthopaedic journal of sports medicine · 2021Article
- Bone marrow stimulation for talar osteochondral lesions at long-term follow-up shows a high sports participation though a decrease in clinical outcomes over time.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- A comparison between arthroscopic and open surgery for treatment outcomes of chronic lateral ankle instability accompanied by osteochondral lesions of the talus.Journal of orthopaedic surgery and research · 2020Article
- MRI of ankle sprain: the association between joint effusion and structural injury severity in a large cohort of athletes.European radiology · 2019Article
- Return to Sports After Surgical Treatment of Osteochondral Defects of the Talus: A Systematic Review of 2347 Cases.Orthopaedic journal of sports medicine · 2019Review
- The subchondral bone healing after fixation of an osteochondral talar defect is superior in comparison with microfracture.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Patient compliance with touchdown weight bearing after microfracture treatment of talar osteochondral lesions.Journal of orthopaedic surgery and research · 2017Article
- Osteochondral lesions of the talus in the athlete: up to date review.Current reviews in musculoskeletal medicine · 2017Review
- Arthroscopic debridement of the ankle for mild to moderate osteoarthritis: a midterm follow-up study in former professional soccer players.Journal of orthopaedic surgery and research · 2016Article
- Autologous collagen-induced chondrogenesis technique (ACIC) for the treatment of chondral lesions of the talus.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
An osteochondral defect (OD) is a lesion involving the articular cartilage and the underlying subchondral bone. ODs of the talus can severely impact on the quality of life of patients, who are usually young and athletic. The primary treatment for ODs that are too small for fixation, consists of arthroscopic debridement and bone marrow stimulation. This article delineates levels of activity, determines times for return to activity and reviews the factors that affect rehabilitation after arthroscopic debridement and bone marrow stimulation of a talar OD. Articles for review were obtained from a search of the MEDLINE database up to January 2012 using the search headings 'osteochondral defects', 'bone marrow stimulation', 'sports/activity', 'rehabilitation', various other related factors and 'talus'. English-, Dutch- and German-language studies were evaluated.The review revealed that there is no consensus in the existing literature about rehabilitation times or return-to-sports activity times, after treatment with bone marrow stimulation of ODs in the talus. Furthermore, scant research has been conducted on these issues. The literature also showed that potential factors that aid rehabilitation could include youth, lower body mass index, smaller OD size, mobilization and treatment with growth factors, platelet-rich plasma, biphosphonates, hyaluronic acid and pulse electromagnetic fields. However, most studies have been conducted in vitro or on animals. We propose a scheme, whereby return-to-sports activity is divided into four phases of increasing intensity: walking, jogging, return to non-contact sports (running without swerving) and return to contact sports (running with swerving and collision). We also recommend that research, conducted on actual sportsmen, of recovery times after treatment of talar ODs is warranted.
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Registered trials
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