Evidence map›Paper›PMID 39560972›Full record

ArticleActa orthopaedica et traumatologica turcica2024

Comparison of autologous matrix-induced chondrogenesis and mosaicplasty in the treatment of osteochondral defects of the talus.

Mete Gedikbas, Tahir Ozturk, Murat Asci, Firat Erpala, Utkan Sobay, Taner Güneş

Abstract readComparative Study
In one paragraph

Article in Acta orthopaedica et traumatologica turcica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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.

Mete GedikbasDepartment of Orthopaedics and Traumatology, Şeyh Edebali University School of Medicine, Bilecik, Türkiye.
Tahir OzturkDepartment of Orthopaedics and Traumatology, İstinye University School of Medicine, Bahçeşehir Hospital, İstanbul, Türkiye.
Murat AsciDepartment of Orthopaedics and Traumatology, Şeyh Edebali University School of Medicine, Bilecik, Türkiye.
Firat ErpalaDepartment of Orthopaedics and Traumatology, Alper Cizgenakat Cesme State Hospital, Izmir, Türkiye.
Utkan SobayDepartment of Orthopaedics and Traumatology, Saruhanlı State Hospital, Manisa, Türkiye.
Taner GüneşDepartment of Orthopaedics and Traumatology, Acıbadem Eskişehir Hospital, Eskişehir, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to compare the medium- to long-term results of mosaicplasty and autologous matrix-induced chondrogenesis (AMIC) in treating osteochondral defects of the talus (OCD). Methods: Fifty patients treated for talus OCD were evaluated between 2010 and 2020. Patients were divided into 2 groups: patients who underwent mosaicplasty (Group I) and those who underwent AMIC (Group II). The OCD was graded according to the Berndt-Hardy and Hepple classification systems. The size of the OCD area, the number of osteochondral plugs, and the size of the collagen matrix were determined from the surgical data. The effects of patients aged below and above 45, defect areas smaller or larger than 1.5 cm2 , and gender on functional outcomes were analyzed in both groups. Range of motion (ROM), The American Orthopaedic Foot & Ankle Society score (AOFAS), the Freiburg ankle Index score (FAI), the Tegner activity scale, and the visual analog scale (VAS) were used for the functional evaluations. Results: Group I included 28 patients, and group II included 22 patients. The mean age was 41.6 years; the mean follow-up period was 69.9 months. In the final examination of the patients, both methods could provide significant improvement in all functional scores (P < .001). Although it was not statistically significant, group II had better functional values. The size of the defect area independently negatively affected the preoperative AOFAS (P=.001 and P=.011, respectively) and FAI (P=.001 and P=.008, respectively) scores. Besides that, age and gender did not affect the results (P > .05). Conclusion: Both methods can provide successful results; however, the AMIC method can achieve better results than mosaicplasty in similarly sized defects without causing additional morbidity.

Indexed as

ChondrogenesisTalusTransplantation, AutologousAdultCartilage, ArticularFemaleHumansMaleMiddle AgedRange of Motion, ArticularRetrospective StudiesTreatment OutcomeAutologousChondrogenesisMosaicplastyOsteochondral defectsTalus

Identifiers

PMID39560972
PMCPMC11583942

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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.