{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T08:00:29Z","timestamp":1785225629415,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"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."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Optimal treatment strategies for (osteo\u2010)chondral injuries following patellar dislocation remain unclear. This retrospective multicentre study aimed to compare outcomes between chondral and osteochondral lesions and to explore factors associated with revision surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent surgical treatment for (osteo\u2010)chondral injuries secondary to patellar dislocation over a 10\u2010year period were included. The primary endpoint was revision surgery; secondary endpoints included patient\u2010reported outcome measures (PROMs) (Banff Patellofemoral Instability Instrument 2.0, EuroQol 5\u2010Dimension [EQ\u20105D], International Knee Documentation Committee [IKDC\u20102000] and Marx Activity Rating Scale). Outcomes were compared between chondral and osteochondral lesions using multivariable regression models to adjust for clinically relevant confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 208 patients with chondral and\/or osteochondral defects were included (chondral: 27.4%; osteochondral: 71.2%; combined chondral and osteochondral: 1.4%). Only patients with purely chondral or osteochondral lesions were further analysed (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009205). Treatment strategies differed between groups, with fragment refixation more commonly performed in osteochondral lesions (62.8% vs. 19.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Overall, 11.2% of patients underwent revision surgery, with no significant difference between lesion types. Concomitant stabilising procedures were associated with lower odds of revision surgery (adj.\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). Patients with chondral lesions had higher scores in the Marx Activity Rating Scale (adj.\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>No significant difference in revision rates was observed between chondral and osteochondral lesions following patellar dislocation. Concomitant stabilising procedures were associated with lower odds of revision surgery. Given the retrospective design and limited number of events, these findings should be considered exploratory and require confirmation in prospective studies.<\/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.70546","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T07:18:40Z","timestamp":1785223120000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Revision rates are similar after surgical treatment of acute chondral and osteochondral injuries following patellar dislocation: A multicentre cohort study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0464-5073","authenticated-orcid":false,"given":"Andrea Maria","family":"Hediger","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Inselspital Bern University Hospital, University of Bern Bern Switzerland"},{"name":"Department of Orthopaedic Surgery and Traumatology Kantonsspital Winterthur Winterthur Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Lustenberger","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Inselspital Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuel Francis","family":"Liechti","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Inselspital Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Hepp","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Trauma and Plastic Surgery University Hospital Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Samland","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Trauma and Plastic Surgery University Hospital Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf","family":"Henkelmann","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Trauma and Plastic Surgery University Hospital Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas Armin","family":"Schildhauer","sequence":"additional","affiliation":[{"name":"Department of General and Trauma Surgery BG University Hospital Bergmannsheil Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"K\u00f6nigshausen","sequence":"additional","affiliation":[{"name":"Department of General and Trauma Surgery BG University Hospital Bergmannsheil Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Rosteius","sequence":"additional","affiliation":[{"name":"Department of General and Trauma Surgery BG University Hospital Bergmannsheil Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Till Orla","family":"Klatte","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery University Medical Center Hamburg\u2010Eppendorf Hamburg Germany"},{"name":"Department of Orthopaedic and Trauma Surgery Albertinen Krankenhaus Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik","family":"Fahlbusch","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery University Medical Center Hamburg\u2010Eppendorf Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Zellner","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery Caritas Hospital St. Josef Regensburg Germany"},{"name":"Sporthopaedicum Regensburg Regensburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Habereder","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery Caritas Hospital St. Josef Regensburg Germany"},{"name":"Asklepios Orthopaedic Clinic Lindenlohe Schwandorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Kittl","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery University Hospital M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Laumann","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery University Hospital M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmar","family":"Herbst","sequence":"additional","affiliation":[{"name":"Gelenkpunkt\u2010Sports and Joint Surgery Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorben","family":"Briese","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery University Hospital M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias Johannes","family":"Gensior","sequence":"additional","affiliation":[{"name":"Clinic for Arthroscopic Surgery, Sports Traumatology and Sports Medicine BG Clinic Duisburg Duisburg Germany"},{"name":"Orthop\u00e4dische Praxisklinik Neuss\u2010D\u00fcsseldorf (OPND) D\u00fcsseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Roenick","sequence":"additional","affiliation":[{"name":"Clinic for Arthroscopic Surgery, Sports Traumatology and Sports Medicine BG Clinic Duisburg Duisburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bastian","family":"Mester","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery University Hospital Essen Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Glaab","sequence":"additional","affiliation":[{"name":"Crossklinik Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"crossref","first-page":"4197","DOI":"10.1002\/ksa.12637","article-title":"Management of first\u2010time patellar dislocation: the ESSKA 2024 formal consensus\u2010Part 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