Evidence map›Paper›PMID 32819146›Full record

ArticleCartilage2021

Does the Symmetry of Patellar Morphology Matter When Matching Osteochondral Allografts for Osteochondral Defects Involving the Central Ridge of the Patella?

Karan Patel, Nabeel S Salka, Austin Ramme, Jaron C Scott, John A Grant

Open access · bronzeAbstract read
In one paragraph

Article in Cartilage, 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
0.3field-weighted citation impact, top 49% 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, 4 citations in OpenAlex.

  1. Article
  2. [Patellar cartilage repair-current concepts and evidence].Orthopadie (Heidelberg, Germany) · 2025
    Review
  3. Cartilage thickness mismatches in patellar osteochondral allograft transplants affect local cartilage stresses.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    Article
  4. 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

5 authors at 3 institutions in 1 country.

Karan PatelDepartment of Orthopaedic Surgery, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0003-1107-5094
Nabeel S SalkaUniversity of Michigan Medical School, Ann Arbor, MI, USA.
Austin RammeSteindler Orthopedic Clinic, Iowa City, IA, USA.ORCID 0000-0002-6081-1089
Jaron C ScottDepartment of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
John A GrantMedSport, Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0003-4885-5596
University of Michigan · USMayo Clinic Hospital · USWinnMed · US

Funding

Structure, Composition, & Histology Core - Core BP30AR069620 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KARL J JEPSEN · 2016 to 2026
$8.4M
GENETIC DETERMINATION OF SKELETAL FRAGILITYR01AR044927 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JEPSEN, KARL J · 2002 to 2014
$4.3M
Bone Robustness as a Biomarker of Skeletal Aging and FragilityR01AR065424 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JEPSEN, KARL J · 2014 to 2018
$2.4M
GENETIC DETERMINATION OF SKELETAL FRAGILITYR29AR044927 · NIAMS · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI JEPSEN, KARL J · 1998 to 2002
$268k
NIAMS NIH HHS P30 AR069620NIAMS NIH HHS R01 AR044927NIAMS NIH HHS R01 AR065424NIAMS NIH HHS R29 AR044927
6 · The paper itself

Abstract

objectiveThe purpose of this study was to determine if differences in Wiberg classification play a role in the ability of donor patellar osteochondral allografts to match the native patellar surface when treating osteochondral defects of the patellar apex.

designTwenty (10 Wiberg I and 10 Wiberg II/III) human patellae were designated as the recipient. Each recipient was size-matched to both a Wiberg I and a Wiberg II/III patellar donor. A 16-mm circular osteochondral "defect" was created on the central ridge of the recipient patella. The randomly ordered donor Wiberg I or Wiberg II/III plug was harvested from a homologous location and transplanted into the recipient. The recipient was then nano-CT (computed tomography) scanned, digitally reconstructed, registered to the initial nano-CT scan of the recipient patella, and processed to determine root mean squared circumferential step-off heights as well as surface height deviation. The process was then repeated for the other allograft plug.

resultsThere was no significant difference in mean step-off height between matched and unmatched Wiberg plugs; however, there was a statistically significant difference in surface height deviation over the whole surface (0.50 mm and 0.64 mm respectively,

conclusionsFor osteochondral allograft sizes up to 16 mm there appears to be no advantage to match donor and recipient patellar morphology. Further study is warranted to evaluate defects requiring larger graft sizes.

Indexed as

Intra-Articular FracturesPatellaAllograftsHumansTomography, X-Ray ComputedTransplantation, Homologouscartilageosteochondral allograftpatella

Identifiers

PMID32819146
PMCPMC8804836
OpenAlexW3080863847

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.