Evidence map›Paper›PMID 40231650›Full record

SynthesisCartilage2026

What are These Cysts Doing in My Graft? A Meta-Analysis on Cystic Occurrence After Autografting and Allografting for Osteochondral Lesions of the Talus.

Jari Dahmen, Julian J Hollander, James J Butler, Kaj S Emanuel, Quinten G H Rikken, Sjoerd A S Stufkens, John G Kennedy, Gino M M J Kerkhoffs

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cartilage, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Jari DahmenDepartment of Orthopedic Surgery, Amsterdam Movement Sciences, Academic Medical Center, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-6849-1008
Julian J HollanderDepartment of Orthopedic Surgery, Amsterdam Movement Sciences, Academic Medical Center, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-8345-1648
James J ButlerDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Kaj S EmanuelDepartment of Orthopedic Surgery, Amsterdam Movement Sciences, Academic Medical Center, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-4970-4303
Quinten G H RikkenDepartment of Orthopedic Surgery, Amsterdam Movement Sciences, Academic Medical Center, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-8134-5419
Sjoerd A S StufkensDepartment of Orthopedic Surgery, Amsterdam Movement Sciences, Academic Medical Center, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
John G KennedyDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Gino M M J KerkhoffsDepartment of Orthopedic Surgery, Amsterdam Movement Sciences, Academic Medical Center, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundThe exact incidence of cyst formation after graft transplantation for osteochondral lesions is unknown. The primary purpose was to assess and compare cystic occurrence after autografting, allografting, and osteoperiosteal grafting for osteochondral lesions of the talus. Our secondary aim was to assess the correlation of clinical outcomes with the presence of postoperative cysts.MethodsA literature search was performed up to October 2023 through PubMed, Embase (Ovid), and Cochrane Library. The primary outcome was the postoperative cystic occurrence rate. A random-effects model with moderator analysis was used to calculate differences in occurrence rates between treatment groups. The relationship between the presence of cysts and clinical outcomes was described.ResultsThirteen studies were included with 382 ankles. The average radiological follow-up at which the presence of cystic occurrence was assessed ranged from 12 to 84 months. The rates of cystic occurrence for the osteochondral autograft transplantation group, the allograft transplantation group, and the osteoperiosteal transplantation group were 42% (95% confidence interval [CI] = 24-61), 58% (95% CI = 40-74), and 34% (95% CI = 12-67), respectively, without any significant differences noted. No relationship between the presence of cysts and clinical outcomes was found.ConclusionPostoperative cystic occurrence is common after osteochondral autograft transplantation (42%), allograft transplantation (58%), and osteoperiosteal transplantation (34%) in osteochondral lesions of the talus-without significant intertreatment differences. The postoperative presence of cysts was not correlated with clinical outcomes. Future research should assess whether the postoperative presence of cysts correlates with (clinical) outcomes at longer follow-up.Level of Evidence:Level IV, systematic review and meta-analysis.

Indexed as

Bone CystsBone TransplantationCartilage, ArticularPostoperative ComplicationsTalusAllograftsAutograftsFemaleHumansMaleTransplantation, AutologousTransplantation, HomologousTreatment Outcomeanklebasic sciencebasic science articular cartilageclinical researchclinical research anklejoint involvedosteochondraltalus

Identifiers

PMID40231650
PMCPMC11999998

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Registered trials

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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.