Evidence map›Paper›PMID 33143647›Full record

Trial reportBMC musculoskeletal disorders2020

Arthroscopic microfracture with atelocollagen augmentation for osteochondral lesion of the talus: a multicenter randomized controlled trial.

Young Koo Lee, Ki Won Young, Jin Su Kim, Hong Seop Lee, Whi-Je Cho, Hyong Nyun Kim

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02519881 (This Clinical Trial Evaluated the Efficacy and Safety of a Modified Microfracture Using Collagen Compared to Those of a Simple Microfracture in Patients With Cartilage Defects in Their Ankles.), which is not on this map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 9% 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.

NCT02519881 nacompletednot on this map

This Clinical Trial Evaluated the Efficacy and Safety of a Modified Microfracture Using Collagen Compared to Those of a Simple Microfracture in Patients With Cartilage Defects in Their Ankles.

TypeinterventionalSponsorCellontech Co., Ltd.Ran2014 to 2018Enrolled60ConditionsDefect of Articular CartilageArmsMicrofracture, CartiFill
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 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

6 authors at 3 institutions in 1 country.

Young Koo LeeDepartment of Orthopedic Surgery, Soonchunhyang University Bucheon Hospital, Bucheon-si, Gyunggi-do, Republic of Korea.
Ki Won YoungDepartment of Foot and Ankle Surgery, Eulji Medical Center, Eulji University, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0001-9654-0041
Jin Su KimDepartment of Orthopedic Surgery, Sejong Sports Medicine and Performance Center, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-3954-5302
Hong Seop LeeDepartment of Foot and Ankle Surgery, Eulji Medical Center, Eulji University, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-3589-314X
Whi-Je ChoDepartment of Orthopedic Surgery, Soonchunhyang University Bucheon Hospital, Bucheon-si, Gyunggi-do, Republic of Korea.
Hyong Nyun KimDepartment of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1, Singil-ro, Yeongdeungpo-gu, Seoul, 07441, Republic of Korea. hyongnyun@naver.com.ORCID https://orcid.org/0000-0001-5934-0665
Eulji University · KRSoonchunhyang University · KRHallym University · KR

Funding

Sewon Cellontech Research Grant grant ID: 04CAR
6 · The paper itself

Abstract

backgroundWe aimed to evaluate whether arthroscopic microfracture with atelocollagen augmentation could improve the clinical outcomes and quality of regenerated cartilage in patients with osteochondral lesion of the talus (OLT). We hypothesized that the clinical outcomes and quality of the regenerated cartilage would be superior in patients undergoing arthroscopic microfracture with atelocollagen augmentation compared to those undergoing arthroscopic microfracture alone.

methodsIn this multicenter, randomized controlled trial, 60 patients were randomly allocated to two groups: arthroscopic microfracture with atelocollagen augmentation (group 1, n = 31) and arthroscopic microfracture alone (group 2, n = 29). Mean 100-mm visual analog scale (VAS), Hannover scoring system (HSS), and American Orthopedic Foot and Ankle Society (AOFAS) scores were assessed 2 years postoperatively and compared between the groups. The quality of the regenerated cartilage was assessed according to the Magnetic Resonance Observation of CArtilage Repair Tissue (MOCART) score based on magnetic resonance imaging.

resultsForty-six patients (22 in group 1, 23 in group 2) completed the 2-year follow-up. The quality of the regenerated cartilage assessed based on the MOCART score was significantly superior in group 1 compared to group 2 (64.49 ± 18.27 vs 53.01 ± 12.14, p = 0.018). Clinical outcomes in terms of 100-mm VAS (17.25 ± 20.31 vs 19.37 ± 18.58, p = 0.72), HSS (93.09 ± 13.64 vs 86.09 ± 13.36, p = 0.14), and AOFAS (91.23 ± 8.62 vs 86.91 ± 10.68, p = 0.09) scores were superior in group 1 compared to group 2, but the differences were not statistically significant. Both groups showed significant improvements in clinical outcomes compared with the preoperative values.

conclusionThe quality of the regenerated cartilage was superior after arthroscopic microfracture with atelocollagen augmentation compared to that after microfracture alone in patients with OLT. Clinical outcomes assessed 2 years postoperatively were superior in patients who underwent arthroscopic microfracture with atelocollagen augmentation compared to those who underwent arthroscopic microfracture alone, although the differences were not statistically significant. A long-term study of the cohort is required to confirm these findings.

trial registrationClinicalTrials.gov ( NCT02519881 ), August 11, 2015.

Indexed as

Cartilage, ArticularFractures, StressTalusArthroscopyCollagenHumansMagnetic Resonance ImagingTreatment OutcomeatelocollagenCollagenAnkleArthroscopyAtelocollagenMicrofractureOsteochondral lesion

Identifiers

PMID33143647
PMCPMC7640454
OpenAlexW3096261881

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.