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Talusun osteokondral lezyonlarında son yirmi yıllık eğilimler ve en çok atıf alan 25 makale: web tabanlı bibliyometrik bir analiz

Year 2025, Volume: 18 Issue: 3, 660 - 671, 02.07.2025
https://doi.org/10.31362/patd.1686678

Abstract

Amaç: Bu çalışma, talusun osteokondral lezyonları (TOL) üzerine yayımlanmış araştırmaları analiz ederek cerrahi eğilimleri belirlemeyi ve önemli bulguları vurgulamayı amaçlamaktadır. Çalışmanın odak noktası, 2003-2023 yılları arasında yayın türlerini, temalarını ve atıf etkilerini değerlendirmektir.
Gereç ve yöntem: Bu çalışma kapsamında, 2003-2023 yılları arasında Thomson Reuters Web of Knowledge veri tabanından indekslenmiş olan talusun osteokondral lezyonları ile ilgili 553 yayın analiz edilmiştir. Bu yayınlar genel konular, cerrahi stratejiler, otogreft ve allogreft teknikleri, mikrofraktür, pediatri, spor, kök hücre tedavileri, kıkırdak/kondrosit implantasyonu, AMIC tekniği, sonuçlar, komplikasyonlar, radyoloji, greftler ve iskele sistemleri gibi temalara göre kategorize edilmiştir. Ayrıca belirtilen dönemde en fazla atıf alan 25 makale belirlenmiştir.
Bulgular: Yapılan analizde, 427 yayının orijinal makale, 56 yayının ise derleme olduğu tespit edilmiştir. Genel konular (94 makale) ve mikrofraktür (73 makale) en sık işlenen temalardır. Bulgular son beş yılda yayın sayısında önemli bir artış olduğunu ve mikrofraktür ile OATS tekniklerinin sıkça ele alınan konular olduğunu göstermektedir. Yayın sayısı 2021 yılında zirve yapmış olup, Hospital for Special Surgery en çok katkı sağlayan kurum olarak öne çıkmıştır. Makalelerin çoğu "Foot and Ankle International" ve "American Journal of Sports Medicine" dergilerinde yayımlanmıştır. Ülke bazında en fazla yayın Amerika Birleşik Devletleri’nden yapılırken, Güney Kore ikinci sırada yer almıştır. En çok atıf alan makale, 370 atıfla Zengerink Maartje ve arkadaşları tarafından yazılan "Treatment of osteochondral lesions of the talus: a systematic review" başlıklı makaledir.
Sonuç: Bu çalışma, TOL konusundaki ilginin özellikle ortopedi cerrahları arasında giderek arttığını ve son yıllarda yayın sayısının yükseldiğini ortaya koymaktadır. Otogreft tekniklerinin tercih edildiği, AMIC tekniğinin ise umut verici bir tedavi yöntemi olarak öne çıktığı görülmektedir. Çalışma, TOL tedavisindeki gelişen eğilimleri vurgulayarak hasta sonuçlarını optimize etmek adına sürekli araştırmaya ihtiyaç duyulduğunu belirtmektedir.

References

  • Kraeutler MJ, Chahla J, Dean CS, et al. Current Concepts Review Update. Foot Ankle Int. 2017;38(3):331-342. doi:10.1177/1071100716677746
  • Bruns J, Habermann C, Werner M. Osteochondral Lesions of the Talus: A Review on Talus Osteochondral Injuries, Including Osteochondritis Dissecans. Cartilage. 2021;13(1_suppl):1380-1401. doi:10.1177/1947603520985182
  • Ramponi L, Yasui Y, Murawski CD, et al. Lesion Size Predicts Clinical Outcomes After Bone Marrow Stimulation for Osteochondral Lesions of the Talus: A Systematic Review. Am J Sports Med. 2017;45(7):1698-1705. doi:10.1177/0363546516668292
  • Shimozono Y, Coale M, Yasui Y, O'Halloran A, Deyer TW, Kennedy JG. Subchondral Bone Degradation After Microfracture for Osteochondral Lesions of the Talus: An MRI Analysis. Am J Sports Med. 2018;46(3):642-648. doi:10.1177/0363546517739606
  • Zengerink M, Struijs PA, Tol JL, van Dijk CN. Treatment of osteochondral lesions of the talus: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2010;18(2):238-246. doi:10.1007/s00167-009-0942-6
  • Corr D, Raikin J, O'Neil J, Raikin S. Long-term Outcomes of Microfracture for Treatment of Osteochondral Lesions of the Talus. Foot Ankle Int. 2021;42(7):833-840. doi:10.1177/1071100721995427
  • Bai L, Guan S, Liu S, et al. Clinical Outcomes of Osteochondral Lesions of the Talus With Large Subchondral Cysts Treated With Osteotomy and Autologous Chondral Grafts: Minimum 2-Year Follow-up and Second-Look Evaluation. Orthop J Sports Med. 2020;8(7):2325967120937798. Published 2020 Jul 28. doi:10.1177/2325967120937798.
  • Chen W, Tang K, Yuan C, Zhou Y, Tao X. Intermediate Results of Large Cystic Medial Osteochondral Lesions of the Talus Treated With Osteoperiosteal Cylinder Autografts From the Medial Tibia. Arthroscopy. 2015;31(8):1557-1564. doi:10.1016/j.arthro.2015.02.027
  • Niemeyer P, Salzmann G, Schmal H, Mayr H, Südkamp NP. Autologous chondrocyte implantation for treating chondral and osteochondral defects of the talus: a meta-analysis of available evidence. Knee Surg Sports Traumatol Arthrosc. 2012;20(9):1696-1703. doi:10.1007/s00167-011-1729-0.
  • Pereira GF, Steele JR, Fletcher AN, Clement RD, Arasa MA, Adams SB. Fresh Osteochondral Allograft Transplantation for Osteochondral Lesions of the Talus: A Systematic Review. J Foot Ankle Surg. 2021;60(3):585-591. doi:10.1053/j.jfas.2021.02.001
  • Valderrabano V, Miska M, Leumann A, Wiewiorski M. Reconstruction of osteochondral lesions of the talus with autologous spongiosa grafts and autologous matrix-induced chondrogenesis. Am J Sports Med. 2013;41(3):519-527. doi:10.1177/0363546513476671
  • Dahmen J, Indino C, D'Ambrosi R, Usuelli FG. Needle Arthroscopic Subchondroplasty With Adipose-Derived Stem Cell Augmentation for the Treatment of Osteochondral Lesions of the Talus. Arthrosc Tech. 2023;12(10):e1649-e1656. Published 2023 Sep 4. doi:10.1016/j.eats.2023.05.014
  • Buda R, Castagnini F, Cavallo M, Ramponi L, Vannini F, Giannini S. “One-step” bone marrow-derived cells transplantation and joint debridement for osteochondral lesions of the talus in ankle osteoarthritis: clinical and radiological outcomes at 36 months. Arch Orthop Trauma Surg. 2016;136(1):107-116. doi:10.1007/s00402-015-2344-1
  • Migliorini F, Eschweiler J, Goetze C, et al. Cell therapies for chondral defects of the talus: a systematic review. J Orthop Surg Res. 2022;17(1):308. Published 2022 Jun 11. doi:10.1186/s13018-022-03203-4
  • Walther M, Gottschalk O, Madry H, et al. Etiology, Classification, Diagnostics, and Conservative Management of Osteochondral Lesions of the Talus. 2023 Recommendations of the Working Group "Clinical Tissue Regeneration" of the German Society of Orthopedics and Traumatology. Cartilage. 2023;14(3):292-304. doi:10.1177/19476035231161806
  • van Diepen PR, Dahmen J, Altink JN, Stufkens SAS, Kerkhoffs GMMJ. Location Distribution of 2,087 Osteochondral Lesions of the Talus. Cartilage. 2021;13(1_suppl):1344-1353. doi:10.1177/1947603520954510
  • Choi WJ, Park KK, Kim BS, Lee JW. Osteochondral lesion of the talus: is there a critical defect size for poor outcome? Am J Sports Med. 2009;37(10):1974-1980. doi:10.1177/0363546509335765
  • Örs Ç, Sarpel Y. Autologous osteochondral transplantation provides succesful recovery in patients with simultaneous medial and lateral talus osteochondral lesions. Acta Orthop Traumatol Turc. 2021;55(6):535-540. doi:10.5152/j.aott.2021.21204
  • Shimozono Y, Hurley ET, Nguyen JT, Deyer TW, Kennedy JG. Allograft Compared with Autograft in Osteochondral Transplantation for the Treatment of Osteochondral Lesions of the Talus. J Bone Joint Surg Am. 2018;100(21):1838-1844. doi:10.2106/JBJS.17.01508
  • Galla M, Duensing I, Kahn TL, Barg A. Open reconstruction with autologous spongiosa grafts and matrix-induced chondrogenesis for osteochondral lesions of the talus can be performed without medial malleolar osteotomy. Knee Surg Sports Traumatol Arthrosc. 2019;27(9):2789-2795. doi:10.1007/s00167-018-5063-7
  • Anders S, Goetz J, Schubert T, Grifka J, Schaumburger J. Treatment of deep articular talus lesions by matrix associated autologous chondrocyte implantation--results at five years. Int Orthop. 2012;36(11):2279-2285. doi:10.1007/s00264-012-1635-1
  • Guney A, Yurdakul E, Karaman I, Bilal O, Kafadar IH, Oner M. Medium-term outcomes of mosaicplasty versus arthroscopic microfracture with or without platelet-rich plasma in the treatment of osteochondral lesions of the talus. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1293-1298. doi:10.1007/s00167-015-3834-y
  • Yausep OE, Madhi I, Trigkilidas D. Platelet rich plasma for treatment of osteochondral lesions of the talus: A systematic review of clinical trials. J Orthop. 2020;18:218-225. Published 2020 Jan 30. doi:10.1016/j.jor.2020.01.046
  • Teramoto A, Shoji H, Kura H, et al. Investigation of factors related to the occurrence of osteochondral lesions of the talus by 3D bone morphology of the ankle. Bone Joint J. 2018;100-B(11):1487-1490. doi:10.1302/0301-620X.100B11.BJJ-2018-0346.R1
  • Verhagen RA, Maas M, Dijkgraaf MG, Tol JL, Krips R, van Dijk CN. Prospective study on diagnostic strategies in osteochondral lesions of the talus. Is MRI superior to helical CT? J Bone Joint Surg Br. 2005;87(1):41-46.
  • Weigelt L, Laux CJ, Urbanschitz L, et al. Long-term Prognosis After Successful Nonoperative Treatment of Osteochondral Lesions of the Talus: An Observational 14-Year Follow-up Study. Orthop J Sports Med. 2020;8(6):2325967120924183. Published 2020 Jun 2. doi:10.1177/2325967120924183
  • Scranton PE Jr, Frey CC, Feder KS. Outcome of osteochondral autograft transplantation for type-V cystic osteochondral lesions of the talus. J Bone Joint Surg Br. 2006;88(5):614-619. doi:10.1302/0301-620X.88B5.17306
  • Looze CA, Capo J, Ryan MK, et al. Evaluation and Management of Osteochondral Lesions of the Talus. Cartilage. 2017;8(1):19-30. doi:10.1177/1947603516670708. 29. Hunt KJ, Ebben BJ. Management of Treatment Failures in Osteochondral Lesions of the Talus. Foot Ankle Clin. 2022;27(2):385-399. doi:10.1016/j.fcl.2021.12.002

Trends in osteochondral lesions of talus in twenty years and most cited twenty-five articles: a web-based bibliometric analysis

Year 2025, Volume: 18 Issue: 3, 660 - 671, 02.07.2025
https://doi.org/10.31362/patd.1686678

Abstract

Purpose: This study analyzes published research on osteochondral lesions of the talus (OLT) to identify surgical trends and highlight key findings. The focus is evaluating publication types, themes, and citation impact from 2003 to 2023.
Material and methods: To identify surgical trends and research focus, this study analyzed 553 publications from the Thomson Reuters Web of Knowledge database on OLT, indexed between 2003 and 2023. These publications were categorized by themes such as general topics, surgical strategies, autograft and allograft techniques, microfracture, pediatrics, sports, stem cell therapies, cartilage/chondrocyte implantation, AMIC, outcomes, complications, radiology, grafts, and scaffolds. The study also identified the top 25 cited articles over the period.
Results: The analysis revealed that 427 were original articles, and 56 were reviews. General topics (94 articles) and microfracture (73) were the most frequently covered themes. Findings indicate a significant increase in publications over the past five years, with microfracture and OATS being prevalent topics. The number of publications peaked in 2021, with the Hospital for Special Surgery contributing the most. Most articles were published in "Foot and Ankle International" and the "American Journal of Sports Medicine." The USA led in the number of publications, followed by South Korea. The most cited article was "Treatment of osteochondral lesions of the talus: a systematic review" by Zengerink Maartje et al., with 370 citations.
Conclusion: The study highlights a growing interest in OLT, particularly among orthopedic surgeons, with increased publications over recent years. There is a preference for autograft techniques, and AMIC has emerged as a promising treatment. This study highlights evolving trends in OLT management, emphasizing the need for continued research to optimize patient outcomes.

References

  • Kraeutler MJ, Chahla J, Dean CS, et al. Current Concepts Review Update. Foot Ankle Int. 2017;38(3):331-342. doi:10.1177/1071100716677746
  • Bruns J, Habermann C, Werner M. Osteochondral Lesions of the Talus: A Review on Talus Osteochondral Injuries, Including Osteochondritis Dissecans. Cartilage. 2021;13(1_suppl):1380-1401. doi:10.1177/1947603520985182
  • Ramponi L, Yasui Y, Murawski CD, et al. Lesion Size Predicts Clinical Outcomes After Bone Marrow Stimulation for Osteochondral Lesions of the Talus: A Systematic Review. Am J Sports Med. 2017;45(7):1698-1705. doi:10.1177/0363546516668292
  • Shimozono Y, Coale M, Yasui Y, O'Halloran A, Deyer TW, Kennedy JG. Subchondral Bone Degradation After Microfracture for Osteochondral Lesions of the Talus: An MRI Analysis. Am J Sports Med. 2018;46(3):642-648. doi:10.1177/0363546517739606
  • Zengerink M, Struijs PA, Tol JL, van Dijk CN. Treatment of osteochondral lesions of the talus: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2010;18(2):238-246. doi:10.1007/s00167-009-0942-6
  • Corr D, Raikin J, O'Neil J, Raikin S. Long-term Outcomes of Microfracture for Treatment of Osteochondral Lesions of the Talus. Foot Ankle Int. 2021;42(7):833-840. doi:10.1177/1071100721995427
  • Bai L, Guan S, Liu S, et al. Clinical Outcomes of Osteochondral Lesions of the Talus With Large Subchondral Cysts Treated With Osteotomy and Autologous Chondral Grafts: Minimum 2-Year Follow-up and Second-Look Evaluation. Orthop J Sports Med. 2020;8(7):2325967120937798. Published 2020 Jul 28. doi:10.1177/2325967120937798.
  • Chen W, Tang K, Yuan C, Zhou Y, Tao X. Intermediate Results of Large Cystic Medial Osteochondral Lesions of the Talus Treated With Osteoperiosteal Cylinder Autografts From the Medial Tibia. Arthroscopy. 2015;31(8):1557-1564. doi:10.1016/j.arthro.2015.02.027
  • Niemeyer P, Salzmann G, Schmal H, Mayr H, Südkamp NP. Autologous chondrocyte implantation for treating chondral and osteochondral defects of the talus: a meta-analysis of available evidence. Knee Surg Sports Traumatol Arthrosc. 2012;20(9):1696-1703. doi:10.1007/s00167-011-1729-0.
  • Pereira GF, Steele JR, Fletcher AN, Clement RD, Arasa MA, Adams SB. Fresh Osteochondral Allograft Transplantation for Osteochondral Lesions of the Talus: A Systematic Review. J Foot Ankle Surg. 2021;60(3):585-591. doi:10.1053/j.jfas.2021.02.001
  • Valderrabano V, Miska M, Leumann A, Wiewiorski M. Reconstruction of osteochondral lesions of the talus with autologous spongiosa grafts and autologous matrix-induced chondrogenesis. Am J Sports Med. 2013;41(3):519-527. doi:10.1177/0363546513476671
  • Dahmen J, Indino C, D'Ambrosi R, Usuelli FG. Needle Arthroscopic Subchondroplasty With Adipose-Derived Stem Cell Augmentation for the Treatment of Osteochondral Lesions of the Talus. Arthrosc Tech. 2023;12(10):e1649-e1656. Published 2023 Sep 4. doi:10.1016/j.eats.2023.05.014
  • Buda R, Castagnini F, Cavallo M, Ramponi L, Vannini F, Giannini S. “One-step” bone marrow-derived cells transplantation and joint debridement for osteochondral lesions of the talus in ankle osteoarthritis: clinical and radiological outcomes at 36 months. Arch Orthop Trauma Surg. 2016;136(1):107-116. doi:10.1007/s00402-015-2344-1
  • Migliorini F, Eschweiler J, Goetze C, et al. Cell therapies for chondral defects of the talus: a systematic review. J Orthop Surg Res. 2022;17(1):308. Published 2022 Jun 11. doi:10.1186/s13018-022-03203-4
  • Walther M, Gottschalk O, Madry H, et al. Etiology, Classification, Diagnostics, and Conservative Management of Osteochondral Lesions of the Talus. 2023 Recommendations of the Working Group "Clinical Tissue Regeneration" of the German Society of Orthopedics and Traumatology. Cartilage. 2023;14(3):292-304. doi:10.1177/19476035231161806
  • van Diepen PR, Dahmen J, Altink JN, Stufkens SAS, Kerkhoffs GMMJ. Location Distribution of 2,087 Osteochondral Lesions of the Talus. Cartilage. 2021;13(1_suppl):1344-1353. doi:10.1177/1947603520954510
  • Choi WJ, Park KK, Kim BS, Lee JW. Osteochondral lesion of the talus: is there a critical defect size for poor outcome? Am J Sports Med. 2009;37(10):1974-1980. doi:10.1177/0363546509335765
  • Örs Ç, Sarpel Y. Autologous osteochondral transplantation provides succesful recovery in patients with simultaneous medial and lateral talus osteochondral lesions. Acta Orthop Traumatol Turc. 2021;55(6):535-540. doi:10.5152/j.aott.2021.21204
  • Shimozono Y, Hurley ET, Nguyen JT, Deyer TW, Kennedy JG. Allograft Compared with Autograft in Osteochondral Transplantation for the Treatment of Osteochondral Lesions of the Talus. J Bone Joint Surg Am. 2018;100(21):1838-1844. doi:10.2106/JBJS.17.01508
  • Galla M, Duensing I, Kahn TL, Barg A. Open reconstruction with autologous spongiosa grafts and matrix-induced chondrogenesis for osteochondral lesions of the talus can be performed without medial malleolar osteotomy. Knee Surg Sports Traumatol Arthrosc. 2019;27(9):2789-2795. doi:10.1007/s00167-018-5063-7
  • Anders S, Goetz J, Schubert T, Grifka J, Schaumburger J. Treatment of deep articular talus lesions by matrix associated autologous chondrocyte implantation--results at five years. Int Orthop. 2012;36(11):2279-2285. doi:10.1007/s00264-012-1635-1
  • Guney A, Yurdakul E, Karaman I, Bilal O, Kafadar IH, Oner M. Medium-term outcomes of mosaicplasty versus arthroscopic microfracture with or without platelet-rich plasma in the treatment of osteochondral lesions of the talus. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1293-1298. doi:10.1007/s00167-015-3834-y
  • Yausep OE, Madhi I, Trigkilidas D. Platelet rich plasma for treatment of osteochondral lesions of the talus: A systematic review of clinical trials. J Orthop. 2020;18:218-225. Published 2020 Jan 30. doi:10.1016/j.jor.2020.01.046
  • Teramoto A, Shoji H, Kura H, et al. Investigation of factors related to the occurrence of osteochondral lesions of the talus by 3D bone morphology of the ankle. Bone Joint J. 2018;100-B(11):1487-1490. doi:10.1302/0301-620X.100B11.BJJ-2018-0346.R1
  • Verhagen RA, Maas M, Dijkgraaf MG, Tol JL, Krips R, van Dijk CN. Prospective study on diagnostic strategies in osteochondral lesions of the talus. Is MRI superior to helical CT? J Bone Joint Surg Br. 2005;87(1):41-46.
  • Weigelt L, Laux CJ, Urbanschitz L, et al. Long-term Prognosis After Successful Nonoperative Treatment of Osteochondral Lesions of the Talus: An Observational 14-Year Follow-up Study. Orthop J Sports Med. 2020;8(6):2325967120924183. Published 2020 Jun 2. doi:10.1177/2325967120924183
  • Scranton PE Jr, Frey CC, Feder KS. Outcome of osteochondral autograft transplantation for type-V cystic osteochondral lesions of the talus. J Bone Joint Surg Br. 2006;88(5):614-619. doi:10.1302/0301-620X.88B5.17306
  • Looze CA, Capo J, Ryan MK, et al. Evaluation and Management of Osteochondral Lesions of the Talus. Cartilage. 2017;8(1):19-30. doi:10.1177/1947603516670708. 29. Hunt KJ, Ebben BJ. Management of Treatment Failures in Osteochondral Lesions of the Talus. Foot Ankle Clin. 2022;27(2):385-399. doi:10.1016/j.fcl.2021.12.002
There are 28 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Research Article
Authors

Ahmet Nadir Aydemir 0000-0002-3095-4935

Mehmet Yücens 0000-0001-6924-6613

Early Pub Date May 16, 2025
Publication Date July 2, 2025
Submission Date April 29, 2025
Acceptance Date May 13, 2025
Published in Issue Year 2025 Volume: 18 Issue: 3

Cite

AMA Aydemir AN, Yücens M. Trends in osteochondral lesions of talus in twenty years and most cited twenty-five articles: a web-based bibliometric analysis. Pam Med J. July 2025;18(3):660-671. doi:10.31362/patd.1686678

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