Evidence map›Paper›PMID 41958845›Full record

ArticleCase reports in orthopedics2026

Selective Femoral Resurfacing for Bilateral Knee Osteonecrosis: A Bone-Preserving Alternative to Total Knee Arthroplasty.

Luca Cevolani, Laura Campanacci, Eric Lodewijk Staals, Paolo Spinnato, Marco Manfrini, Roberta Laranga, Mark Spitoni, Giuseppe Bianchi

Abstract read
In one paragraph

Article in Case reports in orthopedics, 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

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.

Luca CevolaniUnit of 3rd Orthopedic and Traumatologic Clinic Prevalently Oncologic, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy, ior.it.ORCID https://orcid.org/0000-0002-3190-1034
Laura CampanacciUnit of 3rd Orthopedic and Traumatologic Clinic Prevalently Oncologic, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy, ior.it.ORCID https://orcid.org/0000-0002-4734-6741
Eric Lodewijk StaalsUnit of 3rd Orthopedic and Traumatologic Clinic Prevalently Oncologic, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy, ior.it.ORCID https://orcid.org/0000-0001-8189-3055
Paolo SpinnatoDiagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy, ior.it.ORCID https://orcid.org/0000-0001-6060-3215
Marco ManfriniUnit of 3rd Orthopedic and Traumatologic Clinic Prevalently Oncologic, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy, ior.it.ORCID https://orcid.org/0000-0003-2961-0171
Roberta LarangaUnit of 3rd Orthopedic and Traumatologic Clinic Prevalently Oncologic, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy, ior.it.ORCID https://orcid.org/0000-0002-4021-9694
Mark SpitoniUnit of 3rd Orthopedic and Traumatologic Clinic Prevalently Oncologic, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy, ior.it.ORCID https://orcid.org/0009-0000-5918-122X
Giuseppe BianchiUnit of 3rd Orthopedic and Traumatologic Clinic Prevalently Oncologic, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy, ior.it.ORCID https://orcid.org/0000-0001-6390-9762

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Symptomatic avascular necrosis of the knee in young patients represents a therapeutic challenge. We present two cases of patients with bilateral massive osteonecrosis and advanced femoral chondropathy treated with bilateral femoral resurfacing. Conclusion: Prosthetic resurfacing of the distal femur in symptomatic osteonecrosis may represent a bone-sparing technique for young patients, specifically targeting the pathological compartments. It allows for a rapid return to normal activity, reduces pain, and may delay the need for total knee replacement.

Indexed as

clinical outcomedistal femur resurfacingknee endoprosthesisknee osteonecrosissecondary avascular necrosis

Identifiers

PMID41958845
PMCPMC13061572

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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.