Evidence map›Paper›PMID 34036112›Full record

ArticleOrthopaedic journal of sports medicine2021

Autologous Matrix-Induced Chondrogenesis With Lateral Ligament Stabilization for Osteochondral Lesions of the Talus in Patients With Ankle Instability.

Jakob Ackermann, Fabio A Casari, Christoph Germann, Lizzy Weigelt, Stephan H Wirth, Arnd F Viehöfer

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Article in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

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0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
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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

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3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jakob AckermannDepartment of Orthopedics, University Hospital Balgrist, University of Zurich, Zurich, Switzerland.
Fabio A CasariDepartment of Orthopedics, University Hospital Balgrist, University of Zurich, Zurich, Switzerland.
Christoph GermannDepartment of Radiology, University Hospital Balgrist, University of Zurich, Zurich, Switzerland.
Lizzy WeigeltDepartment of Orthopedics, University Hospital Balgrist, University of Zurich, Zurich, Switzerland.
Stephan H WirthDepartment of Orthopedics, University Hospital Balgrist, University of Zurich, Zurich, Switzerland.
Arnd F ViehöferDepartment of Orthopedics, University Hospital Balgrist, University of Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutologous matrix-induced chondrogenesis (AMIC) has been shown to result in favorable clinical outcomes in patients with osteochondral lesions of the talus (OLTs). Though, the influence of ankle instability on cartilage repair of the ankle has yet to be determined. PURPOSE/HYPOTHESIS: To compare the clinical and radiographic outcomes in patients with and without concomitant lateral ligament stabilization (LLS) undergoing AMIC for the treatment of OLT. It was hypothesized that the outcomes would be comparable between these patient groups. STUDY

designCohort study; Level of evidence, 3.

methodsTwenty-six patients (13 with and 13 without concomitant ankle instability) who underwent AMIC with a mean follow-up of 4.2 ± 1.5 years were enrolled in this study. Patients were matched 1:1 according to age, body mass index (BMI), lesion size, and follow-up. Postoperative magnetic resonance imaging and Tegner, American Orthopaedic Foot & Ankle Society (AOFAS), and Cumberland Ankle Instability Tool (CAIT) scores were obtained at a minimum follow-up of 2 years. A musculoskeletal radiologist scored all grafts according to the MOCART (magnetic resonance observation of cartilage repair tissue) 1 and MOCART 2.0 scores.

resultsThe patients' mean age was 33.4 ± 12.7 years, with a mean BMI of 26.2 ± 3.7. Patients with concomitant LLS showed worse clinical outcome measured by the AOFAS (85.1 ± 14.4 vs 96.3 ± 5.8;

conclusionConcurrently performed AMIC and LLS in patients with OLT and ankle instability resulted in clinical outcomes comparable with isolated AMIC if postoperative ankle stability was achieved. However, residual ankle instability was associated with worse postoperative outcomes, highlighting the need for adequate stabilization of ankle instability in patients with OLT.

Indexed as

AMICankleankle instabilityarticular cartilagelateral ligament stabilizationosteochondral lesiontalus

Identifiers

PMID34036112
PMCPMC8127792

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