Evidence map›Paper›PMID 41307669›Full record

ArticleInternational orthopaedics2026

Comparison of the effects of leukocyte-rich and leukocyte-poor platelet-rich plasma following bone marrow stimulation technique on osteochondral lesions of the talus in athletes: a retrospective cohort study.

Taihei Miura, Benny Ewe Boon Yeow, Yasuyuki Jujo, Kosui Iwashita, Parthiban Sivasamy, Kazuaki Okugura, Yukinori Mori, Kenta Komesu, Masato Takao

Abstract readComparative Study
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In one paragraph

Article in International orthopaedics, 2026. 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. Article
4 · The record

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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

9 authors.

Taihei MiuraClinical and Research Institute for Foot & Ankle Surgery, Jujo Hospital, Kisarazu, Japan. t.miura.osaka@gmail.com.
Benny Ewe Boon YeowClinical and Research Institute for Foot & Ankle Surgery, Jujo Hospital, Kisarazu, Japan.
Yasuyuki JujoClinical and Research Institute for Foot & Ankle Surgery, Jujo Hospital, Kisarazu, Japan.
Kosui IwashitaClinical and Research Institute for Foot & Ankle Surgery, Jujo Hospital, Kisarazu, Japan.
Parthiban SivasamyClinical and Research Institute for Foot & Ankle Surgery, Jujo Hospital, Kisarazu, Japan.
Kazuaki OkuguraClinical and Research Institute for Foot & Ankle Surgery, Jujo Hospital, Kisarazu, Japan.
Yukinori MoriClinical and Research Institute for Foot & Ankle Surgery, Jujo Hospital, Kisarazu, Japan.
Kenta KomesuClinical and Research Institute for Foot & Ankle Surgery, Jujo Hospital, Kisarazu, Japan.
Masato TakaoClinical and Research Institute for Foot & Ankle Surgery, Jujo Hospital, Kisarazu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePlatelet-rich plasma (PRP) is a promising treatment for enhancing the outcomes of bone marrow stimulation for osteochondral lesions of the talus (OLT) and has demonstrated efficacy in alleviating symptoms due to its biological properties. However, the role of leukocyte concentration in PRP remains unclear, particularly regarding cartilage regeneration. This study aimed to compare the clinical outcomes and time to return to activity between leukocyte-poor PRP (LP-PRP) and leukocyte-rich PRP (LR-PRP) in OLT surgery.

methodsData from 29 patients with ≥ two year follow-up were retrospectively reviewed: 18 who received LP-PRP and 11 who received LR-PRP with OLT surgery. The study assessed the timeline of return to activity and Self-Managed Foot Evaluation Questionnaire (SAFE-Q) scores preoperatively and at three months, six months, and two years postoperatively.

resultsThe LP-PRP group resumed jogging and sports significantly earlier than the LR-PRP group (P = 0.03, P < 0.01). No patients in either group experienced complications. Both groups showed improved SAFE-Q scores at six months, but at two years, the LP-PRP group maintained significantly higher scores compared to their preoperative levels, whereas the LR-PRP group showed declines in some domains.

conclusionLP-PRP enabled an earlier return to sports compared with LR-PRP. Additionally, LP-PRP maintained good clinical scores two years after surgery. In contrast, the LR-PRP group showed some decline from their early postoperative peak, although absolute scores remained above preoperative levels. These findings suggest that LP-PRP may be an effective adjuvant treatment for OLT surgery. LEVEL OF EVIDENCE: III.

Indexed as

Athletic InjuriesCartilage, ArticularLeukocytesPlatelet-Rich PlasmaTalusAdolescentAdultAthletesBone MarrowFemaleHumansMaleRetrospective StudiesReturn to SportTreatment OutcomeYoung AdultBone marrow stimulationLeukocytesOsteochondral lesionsPlatelet-rich plasmaTalus

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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.