Evidence map›Paper›PMID 31773480›Full record

ReviewCurrent reviews in musculoskeletal medicine2019

Cartilage Restoration in the Adolescent Knee: a Systematic Review.

Ryan P Coughlin, Arnav Gupta, Olawale A Sogbein, Ajaykumar Shanmugaraj, Adrian Z Kurz, Nicole Simunovic, Yi-Meng Yen, Olufemi R Ayeni

Abstract readReview
In one paragraph

Review in Current reviews in musculoskeletal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Ryan P CoughlinDepartment of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, L8N 3Z5, Canada.
Arnav GuptaFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Olawale A SogbeinNorthern Ontario School of Medicine, Laurentian University, Sudbury, Ontario, Canada.
Ajaykumar ShanmugarajDepartment of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, L8N 3Z5, Canada.
Adrian Z KurzDepartment of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, L8N 3Z5, Canada.
Nicole SimunovicDepartment of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, L8N 3Z5, Canada.
Yi-Meng YenBoston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Olufemi R AyeniDepartment of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, L8N 3Z5, Canada. ayenif@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThe purpose of this systematic review was to assess the outcomes and complications of described cartilage restoration techniques for cartilage defects (grades I to IV) in the adolescent knee. RECENT

findingsEleven studies satisfied the inclusion criteria comprising 307 patients with a mean follow-up of 4.6 years (range 1-18.9 years). Study patients were treated with autologous chondrocyte implantation (ACI) (n = 98, mean age 16.0), microfracture (MFx) (n = 36, mean age 15.4), internal fixation (n = 71, mean age 13.1), osteochondral allograft (OCA) transplantation (n = 78, mean age 16.4), and cartillage and excision (n = 24; mean age 14.2). ACI, MFx, OCA transplantation, and internal fixation showed significant improvement in knee functionality scores. The overall complication rate was 10.6% (n = 31). OCA transplantation had the highest complication rate (26.9%; n = 21/78). In summary, our review shows that ACI was the most commonly used technique. Furthermore, ACI, MFx, OCA transplantation, and internal fixation show the most promise in treating the adolescent population due to positive postoperative functional outcomes and low complication rates. However, future studies with large sample sizes, standardized outcome documentation, and long-term follow-up are required to confirm these preliminary results.

Indexed as

AdolescentCartilageKneeOCDPatella

Identifiers

PMID31773480
PMCPMC6942099

What OpenQuestion holds

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Registered trials

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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.