{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T16:07:41Z","timestamp":1789402061893,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study is to describe the postoperative psychological state of patients following osteochondral allograft (OCA) transplantation in the knee and to determine whether patient\u2010perceived kinesiophobia is associated with the rate of return to sport (RTS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of the electronic medical record at a single institution was conducted for all patients that underwent OCA transplantation from January 2010 to 2020. Patient\u2010reported outcomes including the visual analog scale (VAS), knee injury and osteoarthritis outcome score (KOOS)\u00a0and the Tampa scale of kinesiophobia\u201011 (TSK\u201011) were collected. Patients were surveyed regarding their postoperative RTS status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 38 patients (52.6% female) were included in our analysis. Overall, 24 patients (63.2%) returned to sport with 12 (50%) of these patients returning at a lower level of play. When comparing patients that return to sport to those that did not, patients that return had significantly superior KOOS pain (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019) and KOOS QOL (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011). Measures of kinesiophobia (TSK\u201011) were significantly higher among patients that did not return to sport (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014), while satisfaction (n.s.) and pain intensity (n.s.) were comparable between groups. Logistic regression models controlling for demographic factors, VAS pain scores\u00a0and lesion size showed that for every one\u2010point increase in TSK\u201011 kinesiophobia score, patients were 1.33 times more likely to return to sport at a lower level (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009). For every one\u2010point increase in TSK\u201011 scores KOOS QOL decreased by 2.4 points (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Fear of reinjury decreases the likelihood that patients will return to their preoperative level of sport after OCA transplantation. Patients that do not return to sport report significantly greater fear of reinjury and inferior clinical outcomes, despite similar levels of satisfaction and pain compared to those that return.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12067","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T05:59:26Z","timestamp":1706680766000},"page":"490-498","source":"Crossref","is-referenced-by-count":4,"title":["Increased kinesiophobia leads to lower return to sport rate and clinical outcomes following osteochondral allograft transplantation of the knee"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7984-7762","authenticated-orcid":false,"given":"Jairo","family":"Triana","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery NYU Langone Orthopedic Hospital New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"DeClouette","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery NYU Langone Orthopedic Hospital New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Samuel R.","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery NYU Langone Orthopedic Hospital New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6972-7863","authenticated-orcid":false,"given":"Amanda","family":"Avila","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery NYU Langone Orthopedic Hospital New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4153-9382","authenticated-orcid":false,"given":"Dhruv S.","family":"Shankar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery NYU Langone Orthopedic Hospital New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Alaia","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery NYU Langone Orthopedic Hospital New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9371-7649","authenticated-orcid":false,"given":"Eric J.","family":"Strauss","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery NYU Langone Orthopedic Hospital New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5633-1760","authenticated-orcid":false,"given":"Kirk A.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery NYU Langone Orthopedic Hospital New York New York 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