Patient compliance with touchdown weight bearing after microfracture treatment of talar osteochondral lesions

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dc.authorid0000-0001-6742-8464
dc.contributor.authorPolat, Gökhan
dc.contributor.authorKarademir, Gökhan
dc.contributor.authorAkalan, Ekin
dc.contributor.authorAşık, Mehmet
dc.contributor.authorErdil, Mehmet
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:01:25Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:01:25Z
dc.date.issued2017
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000396994500001
dc.descriptionPubMed ID: 28320425
dc.description.abstractBackground: The aim of this study was to prospectively evaluate the compliance of our patients with a touchdown weight bearing (without supporting any weight on the affected side by only touching the plantar aspect of the foot to the ground to maintain balance to protect the affected side from mechanical loading) postoperative rehabilitation protocol after treatment of talar osteochondral lesion (TOL). Methods: Fourteen patients, who had been treated with arthroscopic debridement and microfracture, were followed prospectively. The patients were evaluated for weight bearing compliance with using a stationary gait analysis and feedback system at the postoperative first day, first week, third week, and sixth week. Results: The mean visual analog scale (VAS) scores of the patients at the preoperative, postoperative first day, first week, third week, and sixth weeks were 5.5, 5.9, 3.6, 0.9, and 0.4, respectively. The decrease in VAS scores were statistically significant (p < 0.0001). First postoperative day revealed a mean value of transmitted weight of 4.08% +/- 0.8 (one non-compliant patient). The mean value was 4.34% +/- 0.8 at the first postoperative week (two non-compliant patients), 6.95% +/- 2.3 at the third postoperative week (eight non-compliant patients), and 10.8% +/- 4.8 at the sixth postoperative week (11 non-compliant patients). In the analysis of data, we found a negative correlation between VAS scores and transmitted weight (Kendall's tau b = -0.445 and p = 0.0228). Conclusions: Although patients were able to learn and adjust to the touchdown weight bearing gait protocol during the early postoperative period, most patients became non-compliant when their pain was relieved. To prevent this situation of non-compliance, patients should be warned to obey the weight bearing restrictions, and patients should be called for a follow-up at the third postoperative week.
dc.identifier.citationPolat, G., Karademir, G., Akalan, E., Aşık, M. ve Erdil, M. (2017). Patient compliance with touchdown weight bearing after microfracture treatment of talar osteochondral lesions. Journal of Orthopaedic Surgery and Research, 12. https://dx.doi.org/10.1186/s13018-017-0548-5
dc.identifier.doi10.1186/s13018-017-0548-5
dc.identifier.issn1749-799X
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://dx.doi.org/10.1186/s13018-017-0548-5
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3253
dc.identifier.volume12
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBMC
dc.relation.ispartofJournal of Orthopaedic Surgery and Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectMicrofracture Treatment
dc.subjectPatient Compliance
dc.subjectTalar Osteochondral Lesion
dc.subjectTouchdown Weight Bearing
dc.titlePatient compliance with touchdown weight bearing after microfracture treatment of talar osteochondral lesions
dc.typeArticle

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