Evidence map›Paper›PMID 40797345›Full record

ArticleKnee surgery & related research2025

Favorable 10-year outcomes of osteochondral autologous transplantation for spontaneous osteonecrosis of the knee following subchondral insufficiency fracture with optimal alignment correction.

Kohei Nishitani, Yasuaki Nakagawa, Masahiko Kobayashi, Shinichiro Nakamura, Shogo Mukai, Shinichi Kuriyama, Shuichi Matsuda

Abstract read
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Article in Knee surgery & related research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kohei NishitaniDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawahara-Cho, Sakyo, Kyoto, 606-8507, Japan. nkohei@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0002-8327-3826
Yasuaki NakagawaDepartment of Orthopaedic Surgery, Japan Baptist Medical Foundation, 47 Yamanomoto-Cho, Kitashirakawa, Sakyo, Kyoto, 606-8273, Japan.
Masahiko KobayashiDepartment of Orthopaedic Surgery, Kyoto Shimogamo Hospital, 17 Shimogamo-Higashimorigamae-Cho, Sakyo, Kyoto, 606-0866, Japan.
Shinichiro NakamuraDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawahara-Cho, Sakyo, Kyoto, 606-8507, Japan.
Shogo MukaiDepartment of Orthopaedic Surgery, National Hospital Organization Kyoto Medical Center, 1-1 Fukakusa-Mukaibata-Cho, Fushimi, Kyoto, 612-0861, Japan.
Shinichi KuriyamaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawahara-Cho, Sakyo, Kyoto, 606-8507, Japan.
Shuichi MatsudaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawahara-Cho, Sakyo, Kyoto, 606-8507, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe long-term effect of osteochondral autologous transplantation (OAT) on spontaneous osteonecrosis of the knee (SONK) following subchondral insufficiency fracture remains unclear. This study aimed to evaluate the long-term survivorship and clinical outcomes of OAT for SONK, with a focus on factors associated with clinical success.

methodsPatients who underwent OAT for SONK between 1998 and 2009 were retrospectively reviewed. Survivorship was assessed using Kaplan-Meier analysis, with revision surgery as the endpoint. Clinical outcomes were evaluated using the International Knee Documentation Committee (IKDC) subjective score obtained preoperatively and at final follow-up. Clinical failure was defined as an IKDC score below the patient acceptable symptom state (PASS; 62.1 points). The association between final IKDC score and postoperative femorotibial angle (FTA) was analyzed using linear and quadratic regression.

resultsA total of 33 OATs were included (mean age: 64.6 ± 8.0 years; mean lesion size: 3.9 ± 1.7 cm

conclusionsOAT may provide favorable long-term survivorship and clinical outcomes in SONK, particularly when postoperative alignment is appropriately corrected.

Indexed as

AlignmentCartilageKneeOsteonecrosisRepair

Identifiers

PMID40797345
PMCPMC12341072

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