ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2015
Comparison of chondral versus osteochondral lesions of the talus after arthroscopic microfracture.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- No superior treatment for primary osteochondral defects of the talus.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Pooled it
- Patient-Reported Outcomes of Microfracture, Nanofracture, and K-Wire Drilling in Talus Osteochondral Lesions.Diagnostics (Basel, Switzerland) · 2025Article
- Midterm Outcomes and Surgical Approaches for Osteochondral Lesions of the Talus.Foot & ankle orthopaedics · 2025Article
- Surgical technique of an innovative patient-specific metal implant for talar osteochondral lesions.Journal of experimental orthopaedics · 2025Article
- Therapeutic efficacy analysis of distal tibia varus syndrome with different classification and different therapy: a cross-sectional study.Annals of translational medicine · 2022Article
- Comparison of arthroscopic debridement and microfracture in the treatment of osteochondral lesion of talus.Frontiers in surgery · 2022Article
- High reported rate of return to play following bone marrow stimulation for osteochondral lesions of the talus.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Review
- Effects of Early Weightbearing on Microfracture Treatment of Osteochondral Lesions of Talus with Subchondral Bone Defects.Current medical science · 2019Article
- CT arthrography visualizes tissue growth of osteochondral defects of the talus after microfracture.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Comparison of distraction arthroplasty alone versus combined with arthroscopic microfracture in treatment of post-traumatic ankle arthritis.Journal of orthopaedic surgery and research · 2017Article
- Evaluation and Management of Osteochondral Lesions of the Talus.Cartilage · 2017Review
- Management of Osteochondral Lesions of the Talar Dome.The open orthopaedics journal · 2017Article
- Return to Sports After Bone Marrow-Derived Cell Transplantation for Osteochondral Lesions of the Talus.Cartilage · 2017Article
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Authors and funding
2 authors.
Funding
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Abstract
purposeTo compare the outcomes of arthroscopic microfracture for chondral and osteochondral lesions of the talus, and to identify the characteristics.
methodOne hundred and four ankles were divided into two groups, namely chondral group (58 ankles) and osteochondral group (46 ankles). The chondral group consisted of 37 men and 21 women with a mean age of 41.5 years [95 % confidence interval (CI) 38.9-44.1] and a mean follow-up duration of 37.6 months (95 % CI 34.7-40.5). The osteochondral group consisted of 25 men and 21 women with a mean age of 22.5 years (95 % CI 19.5-22.5) and a mean follow-up duration of 38.3 months (95 % CI 35.4-41.2). Outcomes were measured using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale, and ankle activity score (AAS).
resultsMean AOFAS score was 64.9 points (95 % CI 63.0-66.9) in the chondral group and 68.2 points (95 % CI 65.8-70.5) in the osteochondral group preoperatively, and it had improved to 88.8 points (95 % CI 86.8-90.8) and 93.5 points (95 % CI 91.4-95.6) at final follow-up. Mean AAS changed from 2.7 (95 % CI 2.5-2.9) preoperatively to 6.4 (95 % CI 6.0-6.8) in the chondral group, and from 2.5 (95 % CI 2.3-2.8) preoperatively to 6.6 (95 % CI 6.3-6.9) in the osteochondral group at final follow-up. No significant differences were found between the two groups in terms of AOFAS and AAS. The chondral group showed older age, less trauma history, longer symptom duration, smaller lesion size, and more frequent degenerative changes such as subchondral cyst and synovitis.
conclusionBoth chondral and osteochondral lesions of the talus treated with arthroscopic microfracture showed similar good clinical outcomes. It is important to note that two groups had different characteristics in age distribution, frequency of trauma history, symptom duration, lesion size and location, and incidence of degenerative changes. This study demonstrated that microfracture could improve clinical outcomes significantly both chondral and osteochondral lesions of talus despite their different characteristics.
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