Evidence map›Paper›PMID 22476417›Full record

Trial reportDer Orthopade2012

[Reconstruction of osteochondral defects with a collagen I hydrogel. Results of a prospective multicenter study].

L Rackwitz, U Schneider, S Andereya, S Siebenlist, J C Reichert, F Fensky, J Arnholdt, J Arnhold, I Löer, R Grossstück and 4 more

Erratum issuedAbstract readClinical TrialEnglish AbstractMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Der Orthopade, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Application of collagen in bone regeneration.Journal of orthopaedic translation · 2025
    Review
4 · The record

Corrections and comments

  • Erratum issued
    Arnhold, J [corrected to Arnholdt, J]
5 · Who and what money

Authors and funding

14 authors at 7 institutions in 1 country.

L RackwitzOrthopädische Klinik König-Ludwig-Haus, Universität Würzburg, Brettreichstr. 11, 97074, Würzburg, Deutschland.
U Schneider
S Andereya
S Siebenlist
J C Reichert
F Fensky
J Arnholdt
J Arnhold
I Löer
R Grossstück
W Zinser
T Barthel
M Rudert
U Nöth
University of Würzburg · DEKlinik König-Ludwig Haus · DEAlfried Krupp Hospital · DEBG Klinikum Bergmannstrost Halle · DENova Institut · DEOrthopädische Praxis · DEProsper Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

study goalsThe aim of the study was to evaluate the therapeutic benefit of CaReS®, a type I collagen hydrogel-based autologous chondrocyte implantation technique, for the treatment of osteochondral defects of the knee (Outerbridge grades III and IV) within a prospective multicenter study. MATERIAL AND

methodsA total of 116 patients in 9 clinical centers were treated with CaReS between 2003 and 2008. The Cartilage Injury Evaluation Package 2000 of the International Cartilage Repair Society (ICRS) was employed for data acquisition and included the subjective International Knee Documentation Committee score (IKDC score), the pain level (visual analog scale, VAS), the physical and mental SF-36 score, the overall treatment satisfaction and the functional IKDC status of the indexed knee. Follow-up evaluation was performed 3, 6 and 12 months after surgery and annually thereafter.

resultsThe mean defect size treated was 5.4 ± 2.7 cm(2) with 30% of the cartilage defects being  ≤4 cm(2) and 70%  ≥4 cm(2). The mean follow-up period was 30.2 ± 17.4 months (minimum 12 months and maximum 60 months). The mean IKDC score significantly improved from 42.4 ± 13.8 preoperatively to 70.5 ± 18.7 (p < 0.01) in the mean follow-up period. Global pain level significantly decreased (p < 0.001) from 6.7 ± 2.2 preoperatively to 3.2 ± 3.1 at the latest follow-up. Both the physical and mental components of the SF-36 score significantly increased. At the latest follow-up 80% of the patients rated the overall treatment satisfaction as either good or very good. The functional IKDC knee status clearly improved from preoperative to the latest follow-up when 23.4% of the patients reported having no restriction of knee function (I), 56.3% had mild restriction (II), 17,2% had moderate restriction (III) and 3.1% revealed severe restriction (IV).

conclusionsThe CaReS technique is a clinically effective and safe method for the reconstruction of isolated osteochondral defects of the knee joint and reveals promising clinical outcome up to 5 years after surgery. A longer follow-up period and larger patient cohorts are needed to evaluate the sustainability of CaReS treatment.

Indexed as

AdultChondrocytesCollagen Type IFemaleHumansHydrogelsKnee JointMaleOsteoarthritis, KneeProspective StudiesTreatment OutcomeCollagen Type IHydrogels

Identifiers

PMID22476417
OpenAlexW204423166

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.