{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T10:43:53Z","timestamp":1793357033228,"version":"4.5.0"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The reliability of patient\u2010reported outcome measures (PROMs) as a predictive tool for delayed recovery at 2 years and long\u2010term outcomes following osteochondral allograft transplantation (OCAT) remains uncertain. The objective of this study was to evaluate baseline and 3\u2010 to 6\u2010month PROMs for association with 2\u2010year treatment outcomes in primary OCAT patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were prospectively enrolled in a dedicated OCAT registry at a single institution. Preoperative, 3\u2010, 6\u2010month and annual PROMs for function, pain and global health were analysed for associations with recovery and treatment failure, defined as conversion to a total knee arthroplasty (TKA) or revision surgery within 2 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two hundred and seventeen primary OCAT patients were included for analyses; 34 patients experienced treatment failure with 8 undergoing revision and 26 undergoing TKA at a mean timepoint of 15.5 months. Changes in PROMIS Physical Health, PROMIS Physical Function and PROMIS Pain Interference scores from preoperative status were significantly different between 2\u2010year success versus failure cohorts. Absence of mental health history (odds ratio [OR] 2.9,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.033) and lower preoperative International Knee Documentation Committee (IKDC) scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) were associated with meeting visual analog scale and IKDC minimal clinically important differences at 1 year. Male sex (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.055), nonadherence (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.001, OR: 4.03) and surgery type (tibiofemoral bipolar) (&lt;0.001, OR: 11.3) were significantly associated with increased risk for treatment failure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Preoperative and 3\u20136 months PROMs may be useful for identifying patients at\u2010risk for delayed recovery or early failure 2 years following OCAT in the knee in combination with other known risk factors. These findings have significant implications for shared decision\u2010making regarding OCAT indications, timing, patient education and expectations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, cross\u2010sectional analysis of prospectively collected registry data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70105","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T13:25:04Z","timestamp":1761657904000},"page":"3502-3510","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lower 3\u2010 and 6\u2010month postoperative patient\u2010reported outcome measures are associated with treatment failure 2 years following osteochondral allograft transplantation in the knee"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8627-1500","authenticated-orcid":false,"given":"Kylee","family":"Rucinski","sequence":"first","affiliation":[{"name":"Missouri Orthopaedic Institute, Joint Preservation Center University of Missouri \u2013 Department of Orthopaedic Surgery Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8467-6494","authenticated-orcid":false,"given":"James P.","family":"Stannard","sequence":"additional","affiliation":[{"name":"Missouri Orthopaedic Institute, Joint Preservation Center University of Missouri \u2013 Department of Orthopaedic Surgery Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4859-224X","authenticated-orcid":false,"given":"Clayton W.","family":"Nuelle","sequence":"additional","affiliation":[{"name":"Missouri Orthopaedic Institute, Joint Preservation Center University of Missouri \u2013 Department of Orthopaedic Surgery Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1075-4629","authenticated-orcid":false,"given":"Cory R.","family":"Crecelius","sequence":"additional","affiliation":[{"name":"Missouri Orthopaedic Institute, Joint Preservation Center University of Missouri \u2013 Department of Orthopaedic Surgery Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6776-7589","authenticated-orcid":false,"given":"Renee","family":"Stucky","sequence":"additional","affiliation":[{"name":"Missouri Orthopaedic Institute, Joint Preservation Center University of Missouri \u2013 Department of Orthopaedic Surgery Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0862-995X","authenticated-orcid":false,"given":"James L.","family":"Cook","sequence":"additional","affiliation":[{"name":"Missouri Orthopaedic Institute, Joint Preservation Center University of Missouri \u2013 Department of Orthopaedic Surgery Columbia Missouri 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