Current Treatments of Isolated Articular Cartilage Lesions of the Knee Achieve Similar Outcomes

Abstract

Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Measuring Physical Activity and Sports Participation After Autologous Cartilage Implantation: A Systematic Review

“…‡References 25-29, 31, 32, 36-38, 45-48, 50. 34 Presurgery X X 3, 6, 12, 24 mo X X 5 y X X Ebert et al 35 Presurgery X X 3 mo X X Gooding et al 36 Presurgery X 24 mo X Horas et al 26 Presurgery Graph Graph 6,12, 24 mo Graph Graph Knutsen et al 37 Presurgery Graph X Graph 12, 24 mo Graph NR Graph 5 y Graph X Graph Knutsen et al 38 Presurgery Graph NR Graph 12, 24 mo Graph NR Graph Kon et al 30 Preinjury X Presurgery X X 24 mo X X 7.5 y X X Kon et al 39 Preinjury X Presurgery X X 24 mo X X 5 y X X Kreuz et al 40 Presurgery X 6,18, 36 mo X Lim et al 41 Presurgery X X 1, 6, 12, 24, 36 mo X X 5 y (3-10) X X Niemeyer et al 42 Presurgery X X X X 6, 12 mo Graph X NR NR 24 mo X X X X Panagopoulos et al 43 Presurgery X X X 3, 6, 12, 36 mo Graph Graph Graph 37.5 mo (36-42) X X X (continued) The scale does not provide any qualitative information regarding intensity, frequency or the ability to maintain uncompensated participation at the graded activity level. The other activity-rating scales identified in this review were the Modified Baecke Questionnaire 45 and the Activity Rating Scale, 45 and also a modified Activity Rating Scale, 44 which included a lifetime sports assessment.…”

“…This limitation may be 1 of the reasons why none of the included studies in this review used the IKDC Subjective Form independently. Most of the studies 33,39,42,43,50 applied the IKDC Subjective Form together with the TAS. The KOOS was developed from the disease-specific Western Ontario and McMaster Universities Osteoarthritis Index.…”

“…Two studies 30,39 reported the preinjury TAS. The Lysholm scale was applied together with the IKDC Subjective Form in 5 studies, 25,42,43,47,50 but no studies used the Lysholm scale in conjunction with the KOOS. Three studies applied both the IKDC and KOOS.…”

“…Three studies applied both the IKDC and KOOS. 29,44,48 Regarding the less-used instruments, the Modified Cincinnati Knee Score was applied in 6 studies, 27,28,36,40,42,49 the Short Form-36 Health Survey was used in 5 studies, 29,34,35,37,38 the Activity Rating Scale and its modified version in 2 studies, 44,45 and only 1 study 45 applied the Modified Baecke Questionnaire.…”

Cell-Based Therapy for the Treatment of Focal Articular Cartilage Lesions: A Review of Six Years of Studies in a Malaysian University Medical Centre

“…Many authors comparing the ACI technique with another treatment modality reported more favourable results for ACI (33)(34)(35)(36)(37)(38). However, there were also authors who reported comparable (39)(40)(41) or less favourable results (42) for ACI. Early systematic reviews examining the evidence for ACI concluded that there was insufficient evidence from the existing literature to determine whether conventional ACI was superior in the treatment of focal articular cartilage defects (43)(44)(45)(46)(47)(48)(49).…”