SynthesisInternational orthopaedics2013
Treatment of osteochondral fractures of the knee: a meta-analysis of available scientific evidence.
Synthesis in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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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.
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.
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Who cites it
21 citing papers in PubMed, 66 citations in OpenAlex.
- Osteochondral flake refixation using the parachute technique yields favourable clinical and radiological outcomes following acute patellar dislocation: A case series at short- to mid-term follow-up.Journal of experimental orthopaedics · 2026Article
- Arthroscopic-assisted Suture-based Fixation of Patellar Osteochondral Fractures using the DG-lock Suturing: A Novel Technique.Journal of orthopaedic case reports · 2026Article
- Fixation of Osteochondral Lesions of the Knee Using Autologous Bone Pegs: Functional Evaluation of a Case Series.Revista brasileira de ortopedia · 2026Article
- [Fixation of Osteochondral Lesions of the Knee Using Autologous Bone Pegs: Functional Evaluation of a Case Series].Revista brasileira de ortopedia · 2026Article
- Arthroscopy combined with bone tunnel technique for treating Berndt and Harty stage III or IV osteochondral lesions of the talus.International orthopaedics · 2025Article
- [Refixation of osteochondral flake fractures after patellar dislocation-The parachute technique].Operative Orthopadie und Traumatologie · 2024Article
- Management of Juvenile Osteochondral Fractures Utilising Absorbable PLGA Implants.Journal of clinical medicine · 2024Article
- Osteoarticular Open Flake Fracture Refixation: The "Parachute" Technique.Arthroscopy techniques · 2024Article
- Medial patellofemoral ligament reconstruction with simultaneous osteochondral fracture fixation is an effective treatment for adolescent patellar dislocation with osteochondral fractures.Journal of children's orthopaedics · 2022Article
- Excellent clinical and radiological outcomes after both open flake refixation and autologous chondrocyte implantation following acute patella dislocation and concomitant flake fractures.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Osteochondral Fractures in Acute Patellar Dislocations in Adolescents: Midterm Results of Surgical Treatment.Orthopaedic journal of sports medicine · 2022Article
- Association of Subchondral Changes With Age and Clinical Outcome in Patients With Osteochondral Fractures in the Knee: MRI Analysis at 1 to 10 Years Postoperatively.Orthopaedic journal of sports medicine · 2022Article
- The Modified Hedgehog Technique to Repair Pure Chondral Shear-off Lesions in the Pediatric Knee.Cartilage · 2021Article
- Refixation of Large Osteochondral Fractures After Patella Dislocation Shows Better Mid- to Long-Term Outcome Compared With Debridement.Cartilage · 2021Article
- Reconstruction of Large Osteochondral Lesions in the Knee: Focus on Fixation Techniques.Life (Basel, Switzerland) · 2021Article
- [Refixation of osteochondral fragments with resorbable polylactid implants : Long-term clincal and MRI results].Der Unfallchirurg · 2020Article
- Osteochondral Fracture Fixation With Fragment Preserving Suture Technique.Arthroscopy techniques · 2020Article
- Late Repair, One Year After a Knee Twisting Injury, of a Missed Femoral Trochlea Osteochondral Fragment, With Bioabsorbable Nails, in a 14-Year-Old Boy.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2019Article
- A biomechanical test model for evaluating osseous and osteochondral tissue adhesives.BMC biomedical engineering · 2019Article
- Implantless Fixation of a Large Osteocartilaginous Fracture of the Lateral Femoral Condyle in a Child.Knee surgery & related research · 2017Article
Corrections and comments
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Authors and funding
18 authors at 10 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough traumatic osteochondral fractures of the knee represent a common pathology of the knee joint, there is no general agreement concerning specific treatment of this entity. This meta-analysis was initiated in order to evaluate scientific evidence on different treatment options for acute osteochondral fractures of the knee.
methodsFor this purpose an OVID-based systematic literature search was performed including the following databases: MEDLINE, MEDLINE preprints, Embase, CINAHL, Life Science Citations, British National Library of Health and Cochrane Central Register of Controlled Trials. The literature search period was from 1946 to January 2012, which led to the identification of 1,226 articles. After applying study-specific inclusion criteria a total of 19 studies with clinical follow-up of 638 patients were included. The methodology of these studies was systematically analysed by means of the Coleman Methodology Score. Outcome and success rates were evaluated depending on treatment applied.
resultsAll studies (n = 19) identified represent case series (evidence-based medicine level IV) and included a total of 638 patients. The average post-operative follow-up was 46 ± 27 months (range 3.75-108). The mean number of study subjects per study was 33 ± 44 patients (range 4-169). The average Coleman Methodology Score was 29 ± 17 points (range 5-72). Six different scoring systems were used for clinical assessment. The overall clinical success rate was 83% and varied between 45 and 100%.
conclusionsThis meta-analysis reveals a significant lack of scientific evidence for treatment of osteochondral fractures of the knee. No valid conclusion can be drawn from this study concerning the recommendation of a specific treatment algorithm. Nevertheless, the overall failure rate of 17% underlines that an acute osteochondral fracture of the knee represents an important pathology which is not a self-limiting injury and needs further investigation.
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Registered trials
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.