Evidence map›Paper›PMID 32911970›Full record

ArticleCartilage2021

Long-Term Survivorship and Clinical Outcomes of Osteochondral Autologous Transplantation for Steroid-Induced Osteonecrosis of the Knee.

Kohei Nishitani, Yasuaki Nakagawa, Masahiko Kobayashi, Shinichiro Nakamura, Shogo Mukai, Shinichi Kuriyama, Shuichi Matsuda

Abstract 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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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

8 citing papers in PubMed.

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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.

Kohei NishitaniDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0002-8327-3826
Yasuaki NakagawaDepartment of Orthopaedic Surgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Masahiko KobayashiDepartment of Orthopaedic Surgery, Kyoto Shimogamo Hospital, Kyoto, Japan.
Shinichiro NakamuraDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Shogo MukaiDepartment of Orthopaedic Surgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Shinichi KuriyamaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Shuichi MatsudaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTreatments for steroid-induced osteonecrosis of the knee remains challenging, and there has not been sufficient evidence to support joint preservation surgery. This study evaluated long-term outcomes of osteochondral autologous transplantation (OAT) for steroid-induced osteonecrosis of the knee.

designThis retrospective case series included patients who underwent OAT for steroid-induced osteonecrosis of the knee from 1998 to 2008. The survivorship and need for secondary surgery were evaluated, and the clinical outcome was evaluated with the International Knee Documentation Committee (IKDC) subjective score. Preoperative and final Kellgren-Lawrence (KL) grade of the femorotibial and patellofemoral joints were individually evaluated.

resultsFourteen knees of 10 patients whose mean age was 32.5 (95%CI 26.4-38.6) years were included and followed for 14.0 (12.4-15.7) years. The mean lesion size of 6.9 (5.3-8.5) cm

conclusionsProsthetic joint replacement was successfully avoided for at least the first decade by OAT in young patients with steroid-induced osteonecrosis of the knee. The progression of KL grade of the patellofemoral joint is of concern.

Indexed as

Bone TransplantationIntra-Articular FracturesTransplantation, AutologousAdultFemaleFollow-Up StudiesGlucocorticoidsHumansKnee JointMaleMiddle AgedOsteonecrosisRetrospective StudiesSteroidsSurvivorshipTreatment OutcomeGlucocorticoidsSteroidsbonecartilage repaircartilage transplantationgraftsjoint involvedkneerepairtissue

Identifiers

PMID32911970
PMCPMC8808826

What OpenQuestion holds

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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.