Evidence map›Paper›PMID 32699948›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021

Focal inlay resurfacing for full-thickness chondral defects of the femoral medial condyle may delay the progression to varus deformity.

Eva Cases, Luis Natera, Carlos Antón, Paolo Consigliere, Josep Guillén, Enric Cruz, Manel Garrucho

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Eva CasesHospital General de Granollers, Avinguda Francesc Ribas s/n, 08402, Granollers, Barcelona, Spain.
Luis NateraHospital General de Granollers, Avinguda Francesc Ribas s/n, 08402, Granollers, Barcelona, Spain. luisgerardonaterac@gmail.com.ORCID http://orcid.org/0000-0002-1403-192X
Carlos AntónHospital General de Granollers, Avinguda Francesc Ribas s/n, 08402, Granollers, Barcelona, Spain.
Paolo ConsigliereRoyal Berkshire Hospital NHS Foundation Trust, London Road, Reading, RG1 5AN, UK.
Josep GuillénHospital General de Granollers, Avinguda Francesc Ribas s/n, 08402, Granollers, Barcelona, Spain.
Enric CruzHospital General de Granollers, Avinguda Francesc Ribas s/n, 08402, Granollers, Barcelona, Spain.
Manel GarruchoHospital General de Granollers, Avinguda Francesc Ribas s/n, 08402, Granollers, Barcelona, Spain.
Hospital General de Granollers · ESRoyal Berkshire Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFull-thickness chondral defects at the knee joint predispose to the beginning of a degenerative process which final consequence is the compartment collapse and finally the deviation to varus, because the cartilage of the medial femoral condyle is the most frequently affected area. Likewise, people with these chondral defects are more likely to develop tricompartmental osteoarthritis, reason why early surgical management should be the treatment of choice. The aim of this study was to compare the pre- and post-operative lower limb alignment (mechanical axis), in cases of full-thickness chondral defects of the femoral medial condyle that have been managed by means of a prosthetic focal inlay resurfacing, at a minimum follow-up of five years.

methodsA retrospective study of patients treated for chondral defects in the medial femoral condyle was performed. The inclusion criteria were patients who had undergone a focal inlay resurfacing and minimum follow-up of 5 years. Patients that required a concomitant valguizing tibial osteotomy were finally excluded. The follow-up analysis was performed by means of radiological examinations performed prior to surgery and at the last follow-up visit. The mean limb mechanical axis of the operated knees was calculated both pre- and post-operatively, and comparisons between these two settings were performed.

resultsTen patients were included: eight men and two women. The mean age at the time of surgery was 55 (40-65) years. The mean follow-up was 9 years (range 5-15). The mean limb mechanical axis was 1.33 ± 4.16 in the pre-operative setting and 2.40 ± 5.50 in the post-operative setting (p = 0.441).

conclusionIn the setting of small to moderate size, unique femoral medial condyle full-thickness chondral lesions, filling the defect with an inlay prosthetic resurfacing may protect against the progression to varus deformity. LEVEL OF EVIDENCE: Therapeutic case series, Level IV.

Indexed as

Cartilage, ArticularCartilage DiseasesOsteoarthritis, KneeAdultAgedBone MalalignmentDisease ProgressionFemaleFemurFollow-Up StudiesGenu VarumHumansKnee InjuriesKnee JointKnee ProsthesisMaleChondral defectsFocal inlay resurfacingFull-thicknessKnee osteoarthritisMedial condyleVarus deformity

Identifiers

PMID32699948
OpenAlexW3044704675

What OpenQuestion holds

Textmetadata
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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.