ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Functional outcomes after patellar autologous osteochondral transplantation.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Good clinical outcomes after patellar cartilage repair with no evidence for inferior results in complex cases with the need for additional patellofemoral realignment procedures: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Changing trends in the use of cartilage restoration techniques for the patellofemoral joint: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Pooled it
- Clinical and Radiographic Outcomes After Treatment of Patellar Chondral Defects: A Systematic Review.Sports healthPooled it
- Outcomes of Restorative Treatment for Isolated Patellar Cartilage Lesions: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2026Review
- Cartilage Restoration for Isolated Patellar Chondral Defects: An Updated Systematic Review.Orthopaedic journal of sports medicine · 2023Review
- Long-Term Survivorship and Clinical Outcomes of Osteochondral Autologous Transplantation for Steroid-Induced Osteonecrosis of the Knee.Cartilage · 2021Article
- Refixation of Large Osteochondral Fractures After Patella Dislocation Shows Better Mid- to Long-Term Outcome Compared With Debridement.Cartilage · 2021Article
- Accurate Reporting of Concomitant Procedures Is Highly Variable in Studies Investigating Knee Cartilage Restoration.Cartilage · 2021Article
- High-Grade Patellar Chondral Defects: Promising Results From Management With Osteochondral Autografts.Orthopaedic journal of sports medicine · 2020Article
- Osteochondral Autologous Transplantation for Treating Patellar High-Grade Chondral Defects: A Systematic Review.Orthopaedic journal of sports medicine · 2019Review
- Magnetic resonance imaging assessment of the normal knee anterolateral ligament in children and adolescents.Skeletal radiology · 2018Article
- Osteochondral Allograft Transplantation for Treatment of Focal Patellar Osteochondral Lesion.Arthroscopy techniques · 2017Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of the present study was to assess clinical evaluation of patients who underwent autologous osteochondral transplantation of the patella.
methodsThis prospective study assessed outcomes of 20 patients who underwent patellar autologous osteochondral transplantation at four time-points: preoperatively, 3 days, 6 months, and 2 years after surgery. The following outcomes were assessed at each time-point: pain (VAS), gait, swelling, trophic status, muscle strength, patellar mobility, and range of motion. The Tegner scale was also applied for each time-point.
resultsAll parameters improved, except for patellar mobility, which did not show any change. Pain score decreased from 7.1 (SD 2.3) to 2.4 (SD 2.6) at the 2-year assessment; limping decreased from 70 % before surgery to 15 % 2 years later; swelling scores decreased from an average of 1.8 (SD 0.8) 3 days after surgery to 0.5 (SD 0.7) at the 2-year assessment; muscle strength increased from 3.9 (SD 0.8) to 4.7 (SD 0.7) points at final follow-up; and the range of motion increased from 84 (SD 16.2) to 132 (SD 10.7) degrees 2 years later. Tegner score before surgery ranged from 0 to 5, and after 2 years, it ranged from 5 to 9.
conclusionAutologous osteochondral transplantation for the treatment of patellar chondral lesion was associated with significant improvement in pain, gait, swelling, and range of motion 2 years after surgery, achieving scores similar to uninjured knees. Most of them were able to return to sports activity after 6 months (recreational level) and 2 years (competitive level). LEVEL OF EVIDENCE: IV.
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