{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T10:13:09Z","timestamp":1779185589721,"version":"3.51.4"},"reference-count":36,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2011,11,11]],"date-time":"2011-11-11T00:00:00Z","timestamp":1320969600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Localized full thickness defects of the femoral condyle can be highly symptomatic. Treatment options for these lesions are numerous in young patients, however they become increasingly challenging in middle aged and older patients. In order to delay traditional joint replacement procedures and to provide a soft tissue and bone sparing alternative, this study assess a focal inlay resurfacing procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2004 and 2008, a consecutive series of 27 patients were treated with the Arthrosurface HemiCAP<jats:sup>\u00ae<\/jats:sup> Focal Femoral Condyle Resurfacing Prosthesis and were assessed to study the clinical benefit of this procedure. Outcome measures included the KOOS, IKDC, HSS and WOMAC as well as physical and radiographic evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nineteen patients met the inclusion\/exclusion criteria, 18 were available for review at a median follow\u2010up of 34\u00a0months (range 20\u201357).The median age was 49 years (range 43\u201378). 63% had early arthritis, 5.2% localized osteonecrosis, and 31.6% had a focal traumatic full thickness defect. The follow\u2010up total WOMAC score averaged 90.1 \u00b1 9.3, The KOOS showed very good to excellent scores in all domains and also when compared to age\u2010matched normative data. Significant improvement was seen with the HSS Score. On IKDC examination, 83.4% had normal or nearly normal results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Focal femoral condyle resurfacing demonstrated excellent results for pain and function in middle\u2010aged, well selected patients with full thickness cartilage and osteochondral defects. Patient profiling and assessment of confounding factors, in particular mechanical joint alignment; meniscal function; and healthy opposing cartilage surfaces, are important for an individual treatment approach and successful outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-011-1757-9","type":"journal-article","created":{"date-parts":[[2011,11,10]],"date-time":"2011-11-10T04:11:15Z","timestamp":1320898275000},"page":"1753-1759","source":"Crossref","is-referenced-by-count":68,"title":["Prosthetic inlay resurfacing for the treatment of focal, full thickness cartilage defects of the femoral condyle: a bridge between biologics and conventional arthroplasty"],"prefix":"10.1002","volume":"20","author":[{"given":"Peter","family":"Bollars","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Catholic University of Louvain Weligerveld1 3212 Pellenberg Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Bosquet","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery St Elisabeth Uccle De Frelaan 206 1180 Ukkel Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Vandekerckhove","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Orthopaedic Surgery St Jan Bruges Sint\u2010Jan Ruddershove 10 8000 Bruges Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Hardeman","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Catholic University of Louvain Weligerveld1 3212 Pellenberg Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan","family":"Bellemans","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of 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