Evidence map›Paper›PMID 35146031›Full record

ReviewOrthopaedic journal of sports medicine2021

Prior Bone Marrow Stimulation Surgery Influences Outcomes After Cell-Based Cartilage Restoration: A Systematic Review and Meta-analysis.

Charles J Cogan, James Friedman, Jae You, Alan L Zhang, Brian T Feeley, C Benjamin Ma, Drew A Lansdown

Open access · goldAbstract readReview
In one paragraph

Review 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Microfracture for full-thickness chondral lesions of the knee in elite athletes leads to high return-to-play rates.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
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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 1 institution in 1 country.

Charles J CoganDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, USA.
James FriedmanDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, USA.
Jae YouDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, USA.
Alan L ZhangDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, USA.
Brian T FeeleyDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, USA.
C Benjamin MaDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, USA.
Drew A LansdownDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, USA.
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCell-based cartilage restoration with autologous chondrocyte implantation (ACI) is a safe and effective treatment for symptomatic cartilage lesions. Many patients undergoing ACI have a history of prior surgery, including bone marrow stimulation (BMS). There is mounting evidence that a history of prior BMS may impede healing of the ACI graft. PURPOSE/HYPOTHESIS: The purpose of this study was to compare the failure rates of primary ACI with ACI after prior BMS. We hypothesized that ACI after BMS would have a significantly higher failure rate (defined as reoperation, conversion to arthroplasty, and/or imaging-based failure) compared with primary ACI. STUDY

designSystematic review; Level of evidence, 4.

methodsA literature search was performed by use of PubMed and Embase databases for relevant articles published through October 2, 2020, to identify studies evaluating outcomes and failures rates of ACI after prior BMS in the knee.

resultsIncluded were 11 studies comprising 1479 ACI procedures. The mean age at surgery ranged from 18.3 to 39.1 years, and the mean follow-up ranged from 3 to 20.6 years. All studies reported failure rates. The overall failure rate was significantly higher in the patients who underwent ACI after BMS, at 26.4% compared with 14.8% in the ACI group (

conclusionThis systematic review demonstrated that failure rates were significantly higher for patients treated with ACI after BMS relative to patients undergoing ACI without prior BMS. This finding has important implications when considering the use of BMS for defects that are amenable to cell-based restoration and when determining treatment options after failed BMS. REGISTRATION: PROSPERO (CRD42020180387).

Indexed as

articular cartilageautologous chondrocyte implantationmicrofracture

Identifiers

PMID35146031
PMCPMC8822078
OpenAlexW3204503120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.