title: Sports activity after osteochondral transplantation of the talus.
abstract: BACKGROUND
  There are limited data regarding activity after osteochondral transplantation of the talus in orthopaedic publications.
  
  
  OBJECTIVE
  Osteochondral transplantation of the talus is a clinically successful treatment and enables patients to pursue regular and ongoing recreational sporting activities.
  
  
  METHODS
  Case series; Level of evidence, 4.
  
  
  METHODS
  One hundred thirty-one patients were retrospectively analyzed to determine their sporting and recreational activities at an average of 60 ± 28.4 months postoperatively (range, 24-141 months). The clinical evaluation included the Tegner activity scale, the Activity Rating Scale (ARS), and a visual analog scale (VAS) for pain.
  
  
  RESULTS
  The VAS illustrated significant preoperative to postoperative improvements (6.3 to 2.7; P < .001). Regarding sporting activity, 96.9% of the patients were engaged in sports during their lifetimes compared with 83.8% the year before surgery and 89.3% at the time of survey. The Tegner score dropped from 5.9 preoperatively to 5.0 after surgery (P = .001), and the ARS decreased from 8.9 preoperatively to 6.8 postoperatively (P = .003). The sports frequency and the duration of activities did not significantly change after surgery: 1.7 ± 2.0 (range, 0-8; P = .053) and 4.2 ± 3.8 hours (range, 0-30 hours; P = .052), respectively. The number of actual reported different sports disciplines was unchanged in comparison to the year before surgery (3.7 ± 2.9; range, 0-12). The top 10 cited sports activities did not change for the lifetime, preoperative, and postoperative periods but illustrated an altered order. Although the overall satisfaction with the surgery was good, 15% of our patients were only partially satisfied, and 14% were not satisfied with the procedure.
  
  
  CONCLUSIONS
  Patients engage in fewer, less frequent sporting activities when a symptomatic osteochondral lesion (OCL) at the talus is present. Talar osteochondral transplantation shows good clinical midterm results and allows patients to return to sporting activity. However, we found patients modify their postoperative sporting activities, and we noted a reduction of participation in high-impact and contact sports.
authors.affiliation: Department of Orthopedic Sports Medicine, Klinikum rechts der Isar, Technische Universitaet Muenchen, Munich, Germany.
authors.forename: Jochen
authors.initials: J
authors.lastname: Paul
authors.forename: Michael
authors.initials: M
authors.lastname: Sagstetter
authors.forename: Lena
authors.initials: L
authors.lastname: Lämmle
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Spang
authors.forename: Hosam
authors.initials: H
authors.lastname: El-Azab
authors.forename: Andreas B
authors.initials: AB
authors.lastname: Imhoff
authors.forename: Stefan
authors.initials: S
authors.lastname: Hinterwimmer
mesh_terms: D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D019902:Chondrocytes / Q000637:transplantation*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013177:Sports; D013628:Talus / Q000293:injuries / Q000601:surgery*; D055815:Young Adult