ArticleOrthopaedic journal of sports medicine2025
Open Lift, Drill, Fill, and Fix (LDFF) for Chronic Osteochondral Lesions of the Talus: Favorable 2-Year Clinical Outcomes.
Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: In the presence of an osteochondral fragment with sufficient subchondral bone thickness, fixation is considered to be an effective treatment method for osteochondral lesions of the talus (OLT). One such fixation technique is the lift-drill-fill-fix (LDFF) procedure, which has shown reliable long-term results in an arthroscopic approach; however, the outcomes in cases treated through an open approach are unknown. Purpose: To assess the 2-year outcomes after open LDFF for chronic OLT. Study Design: Case series; Level of evidence, 4. Methods: A total of 34 patients who underwent an open LDFF procedure for chronic (>6 weeks) OLT were prospectively followed for 2 years. The primary outcome concerned the comparison in numeric rating scale of pain (0 = no pain; 10 = most severe pain) during walking between the preoperative score to the 2-year postoperative follow-up score. The association of baseline factors with the change in the primary outcome between baseline and 2-year follow-up was assessed. Secondary patient-reported outcome measures (PROMs) were the Foot and Ankle Outcome Score and 36-Item Short Form Health Survey (SF-36). The fragment union rate on 1-year follow-up computed tomography scans and the influence of possible baseline factors on union were assessed. Adverse events, including revision surgery and complications, were assessed and documented. Results: The primary outcome significantly improved from a median of 6 (IQR, 4-7) out of 10 preoperatively to 1 (IQR, 0-3) out of 10 at final follow-up, Conclusion: Open LDFF resulted in favorable PROs for chronic OLT up to 2-year follow-up. The procedure achieved a 91% fragment union rate, while patients with obesity showed a higher risk of fragment nonunion.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.