Evidence map›Paper›PMID 27602351›Full record

ArticleJoints

Treatment of osteochondral lesions of the talus in athletes: what is the evidence?

Francesca Vannini, Giuseppe Gianluca Costa, Silvio Caravelli, Gherardo Pagliazzi, Massimiliano Mosca

Open access · hybridAbstract read
In one paragraph

Article in Joints. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.8field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Francesca VanniniDepartment of Orthopedy and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy.
Giuseppe Gianluca CostaDepartment of Orthopedy and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy.
Silvio CaravelliDepartment of Orthopedy and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy.
Gherardo PagliazziDepartment of Orthopedy and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy.
Massimiliano MoscaDepartment of Orthopedy and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy.
Istituto Ortopedico Rizzoli · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeankle injuries make up 15% of all sports injuries and osteochondral lesions of the talus (OLTs) are an increasingly frequent problem in active patients. There exist no widely shared guidelines on OLT treatment in the athletic population. The aim of this paper is to review all the existing literature evidence on the surgical treatment of OLTs in athletes, in order to determine the current state of the art in this specific population, underlining both the limits and the potential of the strategies used.

methodsa systematic review of the literature was performed focusing on the different types of surgical treatment used for OLTs in athletes. The screening process and analysis were performed separately by two independent researchers. The inclusion criteria for relevant articles were: clinical reports of any level of evidence, written in English, with no time limitation, or clinical reports describing the treatment of OLTs in the athletic population.

resultswith the consensus of the two observers, relevant data were then extracted and collected in a single database to be analyzed for the purposes of the present manuscript. At the end of the process, 16 papers met the selection criteria. These papers report a total of 642 athletic patients with OCTs.

conclusionsthe ideal treatment for cartilage lesions in athletes is a controversial topic, due to the need for an early return to sports, especially in elite players; this need leads to extensive use of microfractures in this population, despite the poor quality of repair associated with this technique. None of the surgical strategies described in this paper seems to be superior to the others. LEVEL OF EVIDENCE: systematic review of level IV studies, level IV.

Indexed as

ankleathletescartilageosteochondral lesionsport

Identifiers

PMID27602351
PMCPMC4993545
OpenAlexW2519269013

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.