ArticleCartilage2021
Refixation of Large Osteochondral Fractures After Patella Dislocation Shows Better Mid- to Long-Term Outcome Compared With Debridement.
Article in Cartilage, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Outcomes of surgical fixation of osteochondral fracture: a systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Pooled it
- 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
- Analysis of the Efficacy of Arthroscopic Suture Anchor "X" Fixation for Lateral Femoral Condyle Osteochondral Fractures.Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026Article
- Prognostic Role of Lesion Morphology in Patellar Osteochondral Fixation: Influence of Localization and Size on Functional and Pain Outcomes.Journal of clinical medicine · 2025Article
- Male Gender and Normal Trochlear Anatomy Are Associated with a Higher Risk of Osteochondral Fracture Following Patellar Dislocation: A Retrospective Review of 261 Skeletally Mature Patients.Journal of clinical medicine · 2025Article
- Suture-Based Technique for Patellar Osteochondral Fractures Fixation Using an All-Absorbable Implant.Arthroscopy techniques · 2025Article
- Recurrence in Adolescents With First-Time Acute Patellar Dislocation: Comparing Outcomes With and Without Osteochondral Fracture.Orthopaedic journal of sports medicine · 2025Article
- [Why does the patellofemoral cartilage collapse? : A critical analysis of epidemiology, etiology and prevention].Orthopadie (Heidelberg, Germany) · 2025Review
- Osteochondral solutions for cartilage lesions of the knee: a narrative review.Annals of joint · 2025Review
- Return to Activity After Patellofemoral Osteochondral Fracture: A Comparison of Metallic Screw and Bioabsorbable Fixation.Orthopaedic journal of sports medicine · 2024Article
- Acute Treatment of Osteochondral Detachment Following Patellar Dislocation: Clinical and Short-Term MRI Follow-Up.Life (Basel, Switzerland) · 2024Article
- Osteoarticular Open Flake Fracture Refixation: The "Parachute" Technique.Arthroscopy techniques · 2024Article
- Combined quadriceps medial patellofemoral ligament reconstruction and osteochondral fixation offers good patient-reported outcomes and low rates of recurrent instability for osteochondral defects secondary to acute patella dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Osteochondral impression fracture of the patella after sports collision injury.BMJ case reports · 2023Article
- 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
- 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
- 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
- Chondral and Soft Tissue Injuries Associated to Acute Patellar Dislocation: A Systematic Review.Life (Basel, Switzerland) · 2021Review
- [13/f-The dislocated kneecap : Preparation for the medical specialist examination: part 72].Der Unfallchirurg · 2021Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purpose of this study was to compare results of osteochondral fractures (OCF) after first-time lateral patella dislocation, when either refixation or debridement was performed in a mid- to long-term follow-up and to analyze redislocation and reintervention rates.
designFifty-three consecutive patients with OCF were included in this retrospective comparative study. Indication for refixation was presence of subchondral bone at the fragment. Thirty-six OCF were located at the patellar surface, and 17 at the lateral condyle of the distal femur. Refixation was performed in 28 patients while 25 patients underwent removal and debridement. Mean follow-up was 8.9 years (±4.4, range 2.0-16.7 years). For assessment of clinical outcome, the International Knee Documentation Committee (IKDC) Score, Knee Injury and Osteoarthritis Outcome Score (KOOS), and Lysholm score were used. Redislocation rate and further surgical interventions within follow-up were evaluated.
resultsAll clinical scores in the refixation group yielded significantly better results at mid- to long term follow-up (IKDC
conclusionsRefixation of OCF after lateral patella dislocation shows improved clinical outcome at mid- to long-term follow-up compared with debridement. Therefore, effort to try fragment refixation is recommended. Redislocation rate is high without proper restoration of patellofemoral instability.
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