Evidence map›Paper›PMID 32240347›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020

Concomitant ankle instability has a negative impact on the quality of life in patients with osteochondral lesions of the talus: data from the German Cartilage Registry (KnorpelRegister DGOU).

Daniel Körner, Atesch Ateschrang, Steffen Schröter, Matthias Aurich, Christoph Becher, Markus Walther, Oliver Gottschalk, Yannic Bangert, Sarah Ettinger, Christian Plaass and 1 more

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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% of its field
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Additional cartilage treatment for small defects in chronic ankle instability shows no mid-term benefit and delays recovery: a randomized controlled trial.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Daniel KörnerDepartment of Traumatology and Reconstructive Surgery, BG Trauma Center Tübingen, Eberhard Karls University Tübingen, Schnarrrenbergstr. 95, 72076, Tübingen, Germany. dkoerner@bgu-tuebingen.de.
Atesch AteschrangDepartment of Traumatology and Reconstructive Surgery, BG Trauma Center Tübingen, Eberhard Karls University Tübingen, Schnarrrenbergstr. 95, 72076, Tübingen, Germany.
Steffen SchröterDepartment of Traumatology and Reconstructive Surgery, BG Trauma Center Tübingen, Eberhard Karls University Tübingen, Schnarrrenbergstr. 95, 72076, Tübingen, Germany.
Matthias AurichDepartment of Orthopaedics and Special Trauma Surgery, Klinikum Mittleres Erzgebirge gGmbH, Zschopau, Germany.
Christoph BecherInternational Center of Hip-, Knee- and Foot Surgery, Sport Traumatology, ATOS Clinic Heidelberg, Heidelberg, Germany.
Markus WaltherCenter for Foot and Ankle Surgery, Schön Clinic Munich Harlaching, FIFA Medical Centre, Munich, Germany.
Oliver GottschalkCenter for Foot and Ankle Surgery, Schön Clinic Munich Harlaching, FIFA Medical Centre, Munich, Germany.
Yannic BangertDepartment of Orthopaedics and Trauma Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Sarah EttingerDepartment of Orthopaedic Surgery, Diakovere Annastift, Hannover Medical School, Hannover, Germany.
Christian PlaassDepartment of Orthopaedic Surgery, Diakovere Annastift, Hannover Medical School, Hannover, Germany.
Marc-Daniel AhrendDepartment of Traumatology and Reconstructive Surgery, BG Trauma Center Tübingen, Eberhard Karls University Tübingen, Schnarrrenbergstr. 95, 72076, Tübingen, Germany.
BG Klinik Tübingen · DEMedizinische Hochschule Hannover · DESchön Klinik München Harlaching · DEUniversity of Tübingen · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to compare patients with osteochondral lesions of the talus (OCLT) with and without concomitant chronic ankle instability (CAI).

methodsData from the German Cartilage Registry (KnorpelRegister DGOU) for 63 patients with a solitary OCLT were used. All patients received autologous matrix-induced chondrogenesis (AMIC) for OCLT treatment. Patients in group A received an additional ankle stabilisation, while patients in group B received AMIC alone. Both groups were compared according to demographic, lesion-related, and therapy-related factors as well as baseline clinical outcome scores at the time of surgery. The Foot and Ankle Ability Measure (FAAM), the Foot and Ankle Outcome Score (FAOS), and the Numeric Rating Scale for Pain (NRS) were used.

resultsPatients in group A were older compared to group B [median 34 years (range 20-65 years) vs. 28.5 years (range 18-72 years)]; the rate of trauma-associated OCLTs was higher (89.7% vs. 38.3%); more patients in group A had a previous non-surgical treatment (74.1% vs. 41.4%); and their OCLT lesion size was smaller [median 100 mm

conclusionPatients with OCLT with concomitant CAI differ from those without concomitant CAI according to demographic and lesion-related factors. The additional presence of CAI worsens the quality of life of patients with OCLT. Patients with OCLT should be examined for concomitant CAI, so that if CAI is present, it can be integrated into the treatment concept. LEVEL OF EVIDENCE: IV.

Indexed as

Quality of LifeAdolescentAdultAgedAnkleAnkle InjuriesArthroplasty, SubchondralChondrogenesisCollagen Type ICollagen Type IIIFemaleGermanyHumansJoint InstabilityMaleMiddle AgedCollagen Type ICollagen Type IIIAnkleAnkle instabiltyCartilageCartilage registryKnorpelregisterOsteochondral lesionTalus

Identifiers

PMID32240347
OpenAlexW3014908585

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.