Purpose: This study aims to compare the mid-term functional outcomes of microfracture and mosaicplasty techniques in talus osteochondral lesions. Materials and methods: This study consists of 47 patients with talus osteochondral lesions who underwent arthroscopic surgery. These patients were divided into two groups: microfracture (28 patients) and mosaicplasty (19 patients). The American Orthopedic Foot and Ankle Society (AOFAS) scoring system was used to evaluate ankle function, and the Visual Analog Scale (VAS) score was used for pain assessment. Results: The mean follow-up period was 26 months (range 10-36 months). It was determined that the mean preoperative AOFAS score of individuals in the mosaicplasty group was 38.84±2.83, and the postoperative AOFAS score was 78.79±3.91. A statistically significant difference was found between the two measurements of AOFAS scores (preoperative and postoperative) in the mosaicplasty group (*t=33.756; p<0.001). The effect size for this difference observed in the mosaicplasty group was determined to be r=0.992 (large). Similarly, a statistically significant difference was found between the two measurements of AOFAS scores (preoperative and postoperative) in the microfracture group (*t=28.152; p<0.001). The effect size for this difference observed in the microfracture group was determined to be r=0.983 (large). Conclusion: We believe that both treatment methods have similar positive effects on pain and ankle function. However, larger controlled studies with longer follow-up periods are needed to reach a definitive conclusion.
The junctura tendinum (JT) are interconnecting bands between the extensor digitorum communis tendons on the dorsum of the hand. During dorsal plate fixatio
1 January 2025 in Eurasian Clinical and Analytical Medicine
The correct identification of the knee joint line is essential for successful primary and revision total knee arthroplasty (TKA). Small misalignments can c
25 June 2026 in Journal of Medicine and Palliative Care
Aims: To evaluate the reliability of commonly used palpable anatomical landmarks for ankle centre localization and to determine the influence of demographic factors on these measurements.Methods: This retrospective study included 80 patients with normal ankle anatomy. The ankle centre was defined on magnetic resonance imaging (MRI) based on the talar dome, and distances to three palpable landmarks, the lateral border of the tibialis anterior tendon, the intermalleolar midpoint, and the extensor hallucis longus tendon—were measured. Comparisons were performed according to sex and age groups. Correlation and multiple linear regression analyses were conducted to assess the relationships between variables and the effect of demographic factors. Results: The mean distance to the lateral border of the tibialis anterior tendon was significantly greater in males compared to females (10.01±1.25 mm vs. 9.16±1.10 mm, p=0.004). No significant sex-related differences were observed for the intermalleolar midpoint (2.12±0.62 mm vs. 2.33±0.60 mm, p=0.165) or the extensor hallucis longus (1.65±0.43 mm vs. 1.66±0.36 mm, p=0.902). Age group analysis showed no significant differences for the tibialis anterior tendon (p=0.382) or the intermalleolar midpoint (p=0.248), whereas a significant difference was found for the extensor hallucis longus (p=0.035). In regression analysis, male gender was independently associated with the tibialis anterior tendon distance (β=0.319, p=0.004), while age was not a significant predictor for any parameter.Conclusion: The lateral border of the tibialis anterior tendon appears to be a relatively consistent and reliable palpable landmark for ankle centre localization, with minimal influence from demographic factors, and may serve as a practical reference for distal alignment in total knee arthroplasty.