Evidence map›Paper›PMID 27994717›Full record

ReviewCartilage2017

Evaluation and Management of Osteochondral Lesions of the Talus.

Christopher A Looze, Jason Capo, Michael K Ryan, John P Begly, Cary Chapman, David Swanson, Brian C Singh, Eric J Strauss

Abstract readReview
In one paragraph

Review in Cartilage, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

65 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Review
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  16. Advancements in the treatment of osteochondral lesions of the talus.Journal of orthopaedic surgery and research · 2024
    Review
  17. Review
  18. Article
  19. [Progress in surgical treatment of osteochondral lesion of talus].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Review
  20. Article

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Christopher A LoozeDivision of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
Jason CapoDivision of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
Michael K RyanDivision of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
John P BeglyDivision of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
Cary ChapmanDivision of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
David SwansonDivision of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
Brian C SinghDivision of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
Eric J StraussDivision of Sports Medicine, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteochondral lesions of the talus are common injuries that affect a wide variety of active patients. The majority of these lesions are associated with ankle sprains and fractures though several nontraumatic etiologies have also been recognized. Patients normally present with a history of prior ankle injury and/or instability. In addition to standard ankle radiographs, magnetic resonance imaging and computed tomography are used to characterize the extent of the lesion and involvement of the subchondral bone. Symptomatic nondisplaced lesions can often be treated conservatively within the pediatric population though this treatment is less successful in adults. Bone marrow stimulation techniques such as microfracture have yielded favorable results for the treatment of small (<15 mm) lesions. Osteochondral autograft can be harvested most commonly from the ipsilateral knee and carries the benefit of repairing defects with native hyaline cartilage. Osteochondral allograft transplant is reserved for large cystic lesions that lack subchondral bone integrity. Cell-based repair techniques such as autologous chondrocyte implantation and matrix-associated chondrocyte implantation have been increasingly used in an attempt to repair the lesion with hyaline cartilage though these techniques require adequate subchondral bone. Biological agents such as platelet-rich plasma and bone marrow aspirate have been more recently studied as an adjunct to operative treatment but their use remains theoretical. The present article reviews the current concepts in the evaluation and management of osteochondral lesions of the talus, with a focus on the available surgical treatment options.

Indexed as

ankleautologous chondrocytecartilage repairgraftsjoint involvedmicrofractureproceduresrepairtalus

Identifiers

PMID27994717
PMCPMC5154424

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.