{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T08:13:51Z","timestamp":1792224831124,"version":"4.4.0"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,4,16]],"date-time":"2013-04-16T00:00:00Z","timestamp":1366070400000},"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":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Autologous osteochondral mosaicplasty and TruFit\u2122 Bone graft substitute plugs are methods used to repair symptomatic articular cartilage defects in the adult knee. There have been no comparative studies of the two techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study assessed functional outcome of patients using the EQ\u20105D, Knee Injury and Osteoarthritis Outcome Score (KOOS) and Modified Cincinnati scores at follow\u2010up of 1\u20135 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 66 patients in the study (35 TruFit and 31\u00a0Mosaicplasty): 44\u00a0males and 22 females with a mean age of 37.3 years (SD 12.6). The mean BMI was 26.8. Thirty\u2010six articular cartilage lesions were due to trauma, twenty\u2010six due to osteochondritis dissecans and three due to non\u2010specific degenerative change or unknown. There was no difference between the two groups age (n.s.), sex (n.s.), BMI (n.s.), defect location (n.s.) or aetiology (n.s.). The median follow\u2010up was 22\u00a0months for the TruFit cohort and 30\u00a0months for the mosaicplasty group. There was no significant difference in the requirement for re\u2010operation (n.s). Patients undergoing autologous mosaicplasty had a higher rate of returning to sport (<jats:italic>p<\/jats:italic> = 0.006), lower EQ\u20105D pain scores (<jats:italic>p<\/jats:italic> = 0.048) and higher KOOS activities of daily living (<jats:italic>p<\/jats:italic> = 0.029) scores. Sub\u2010group analysis showed no difference related to the number of cases the surgeon performed. Patients requiring re\u2010operation had lower outcome scores regardless of their initial procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrated significantly better outcomes using two validated outcome scores (KOOS, EQ\u20105D), and an ability to return to sport in those undergoing autologous mosaicplasty compared to those receiving TruFit plugs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-013-2493-0","type":"journal-article","created":{"date-parts":[[2013,4,14]],"date-time":"2013-04-14T23:58:39Z","timestamp":1365983919000},"page":"1235-1240","source":"Crossref","is-referenced-by-count":53,"title":["Autologous osteochondral mosaicplasty or TruFit\u2122 plugs for cartilage repair"],"prefix":"10.1002","volume":"22","author":[{"given":"Paul","family":"Hindle","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics Royal Infirmary of Edinburgh 51\u00a0Little France Crescent, Old Dalkeith Road EH16 4SA Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane L.","family":"Hendry","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics Royal Infirmary of Edinburgh 51\u00a0Little France Crescent, Old Dalkeith Road EH16 4SA Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John F.","family":"Keating","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics Royal Infirmary of Edinburgh 51\u00a0Little France Crescent, Old Dalkeith Road EH16 4SA Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leela C.","family":"Biant","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics Royal Infirmary of Edinburgh 51\u00a0Little France Crescent, Old Dalkeith Road EH16 4SA Edinburgh 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