Evidence map›Paper›PMID 38651496›Full record

ArticleCartilage2025

Intermediate-Term Clinical Outcomes of High-Density Autologous Chondrocyte Implantation in Patients with Concomitant Anterior Cruciate Ligament Reconstruction and Focal Chondral Lesions.

Isabel Guillén-Vicente, Ramón Herros-García, Marta Guillén-Vicente, Borja Ruiz, Juan Manuel Lopez-Alcorocho, Elena Rodríguez-Iñigo, Adrián Barrera, Tomás F Fernández-Jaén, Steve Abelow, Pedro Guillén-García

Abstract read
In one paragraph

Article in Cartilage, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. Review
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

10 authors.

Isabel Guillén-VicenteDepartment of Traumatology and Research Unit, Clinica CEMTRO, Madrid, Spain.
Ramón Herros-GarcíaDepartment of Traumatology and Research Unit, Clinica CEMTRO, Madrid, Spain.
Marta Guillén-VicenteDepartment of Traumatology and Research Unit, Clinica CEMTRO, Madrid, Spain.
Borja RuizDepartment of Traumatology and Research Unit, Clinica CEMTRO, Madrid, Spain.
Juan Manuel Lopez-AlcorochoDepartment of Traumatology and Research Unit, Clinica CEMTRO, Madrid, Spain.ORCID 0000-0003-3333-3365
Elena Rodríguez-IñigoDepartment of Traumatology and Research Unit, Clinica CEMTRO, Madrid, Spain.
Adrián BarreraDepartment of Traumatology and Research Unit, Clinica CEMTRO, Madrid, Spain.
Tomás F Fernández-JaénDepartment of Traumatology and Research Unit, Clinica CEMTRO, Madrid, Spain.
Steve AbelowDepartment of Traumatology and Research Unit, Clinica CEMTRO, Madrid, Spain.
Pedro Guillén-GarcíaDepartment of Traumatology and Research Unit, Clinica CEMTRO, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate intermediate-term clinical results in patients with concomitant anterior cruciate ligament (ACL) reconstruction and chondral defect treated with high-density autologous chondrocyte implantation (HD-ACI) compared to patients without ACL tear but with a chondral lesion and HD-ACI treatment.

designForty-eight patients with focal chondral lesions underwent HD-ACI (24 with ACL reconstruction after an ACL injury and 24 with an intact ACL). Follow-up assessments occurred at 6, 12, and 24 months. Patient-reported knee function and symptoms were assessed using the International Knee Documentation Committee (IKDC) questionnaire, pain was measured using the Visual Analog Scale (VAS), and adverse events were monitored. Physical activity was assessed using the Tegner Activity Level Scale, and cartilage healing was evaluated with the Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) score.

resultsNo significant adverse events occurred during follow-up. Both groups showed significant improvements at 2 years compared to baseline (VAS: 8.0 ± 1.3 to 1.4 ± 2.0 [normal ACL]; 7.4 ± 2.3 to 2.1 ± 2.3 [ACL reconstruction]; IKDC: 39.2 ± 10.6 to 76.1 ± 22.0 [intact ACL]; 35.6 ± 12.1 to 74.6 ± 20.9 [ACL reconstruction]). Patients in both groups exceeded the minimal clinically important difference (MCID) for IKDC scores. The Tegner Activity Level Scale decreased immediately after surgery and increased after 2 years, with 70.6% (normal ACL) and 89.5% (ACL reconstruction) returning to their preinjury activity levels. No significant differences in the MOCART score were observed between the groups.

conclusionsACL reconstruction does not appear to reduce the outcomes (at 2 years) of HD-ACI.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionCartilage, ArticularChondrocytesAdolescentAdultAnterior Cruciate LigamentFemaleFollow-Up StudiesHumansKnee InjuriesKnee JointMagnetic Resonance ImagingMaleTransplantation, AutologousTreatment OutcomeACL reconstructionanterior cruciate ligament rupturechondral lesionhigh-density autologous chondrocyte implantationminimal clinical importance difference

Identifiers

PMID38651496
PMCPMC11569587

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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.