XXXX of the talus in an athletic population.

@entity1 @entity8 @entity2587
PURPOSE: To assess clinical outcomes and return to sport in an athletic population treated with @entity8 of the talus. METHODS: A total of 36 @entity1 were included in this retrospective study including 21 professional @entity2587 and 15 amateur @entity2587 who participated in regular moderate- or high-impact athletic activity. All @entity1 underwent autologous osteochondral transplantation of the talus under the care of a single surgeon. At a mean follow-up of 5.9  years, @entity1 were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system. All @entity1 also received pre-operative MRI with the follow-up MRI performed at 1  year and underwent assessment of return to athletic activity. RESULTS: The overall AOFAS score improved from 65.5 (SD      11.1) to 89.4 (SD      14.4) (p  =  0.01). At a final follow-up, 90  % of professional @entity2587 (19 of 21) were still competing in athletic activity or still able to participate in unrestricted activity. Of the recreational @entity2587 , 87  % (13 of 15) had full return to pre-injury activity levels, while two (13  %) returned to activity with restrictions or reduced intensity. MRI showed cystic change in 33  % of @entity1 post-operatively; however, this did not appear to affect outcomes (n.s.). Donor site symptoms were seen in 11  % of the cohort at final follow-up, despite high function at donor knee. CONCLUSION: The results of our study indicate that AOT procedure is able to achieve good outcomes in an athletic population at a midterm follow-up. LEVEL OF EVIDENCE: Retrospective case series, Level IV.
