{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T21:42:31Z","timestamp":1773610951771,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,7,29]],"date-time":"2014-07-29T00:00:00Z","timestamp":1406592000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,7,29]],"date-time":"2014-07-29T00:00:00Z","timestamp":1406592000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>\nPurpose<\/jats:title><jats:p>The aim of the study was to determine whether medial meniscal substitution with a polyurethane scaffold (Actifit<jats:sup>\u00ae<\/jats:sup>) improves the outcome of medial meniscal\u2010deficient varus knees undergoing open\u2010wedge high tibial osteotomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty patients with symptomatic varus knees those who underwent open\u2010wedge high tibial osteotomies were prospectively studied. In 30 patients, the medial meniscus was left with a defect larger than 25\u00a0mm (Group M). An Actifit<jats:sup>\u00ae<\/jats:sup> device was implanted (Group A) in the remaining 30 patients. Patients were functionally evaluated with WOMET, IKDC and VAS. Patient satisfaction was graded from 0 (not satisfied) to 4 (very satisfied).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both groups were comparable preoperatively. They had similar follow\u2010up periods (31.2\u00a0months; range 24\u201347.5; n.s.). WOMET improved a mean of 53.4 \u00b1 8.4 and 42.4 \u00b1 17.2 points in Groups M and A, respectively (<jats:italic>p<\/jats:italic> = 0.002). IKDC improved a mean of 56.7 \u00b1 12 and 50.3 \u00b1 15.6 points in Groups M and A, respectively (n.s.). VAS dropped 5.9 \u00b1 2.1 and 4.7 \u00b1 2.8 points in Groups M and A, respectively (<jats:italic>p<\/jats:italic> = 0.006). Patient satisfaction averaged 3.3 \u00b1 0.8 and 3.3 \u00b1 1\u00a0in Groups M and A, respectively (n.s.).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with symptomatic varus knees were treated with open\u2010wedge high tibial osteotomies, and a meniscectomy was improved more at short\u2010term follow\u2010up in most of the evaluated functional scores than those patients with concomitant implantation of a medial Actifit<jats:sup>\u00ae<\/jats:sup> implant. However, there was no difference in terms of patient satisfaction with the procedure. Based on the short\u2010term functional results of this study, no data were provided to support medial meniscal substitution with a polyurethane scaffold when an open\u2010wedge high tibial osteotomy is being performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Prospective comparative study, Level II.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-014-3206-z","type":"journal-article","created":{"date-parts":[[2014,7,28]],"date-time":"2014-07-28T03:19:54Z","timestamp":1406517594000},"page":"334-339","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Partial meniscus substitution with a polyurethane scaffold does not improve outcome after an open\u2010wedge high tibial osteotomy"],"prefix":"10.1002","volume":"23","author":[{"given":"Pablo Eduardo","family":"Gelber","sequence":"first","affiliation":[{"name":"ICATME\u2010Hospital Universitari Quir\u00f3n Dexeus Universitat Aut\u00f2noma de Barcelona c\/Sabino de Arana 5\u201019 08028 Barcelona Spain"},{"name":"Department of Orthopaedic Surgery Hospital de la Santa Creu i Sant Pau Universitat Aut\u00f2noma de Barcelona C\/Sant Quint\u00ed, 89 08041 Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Isart","sequence":"additional","affiliation":[{"name":"ICATME\u2010Hospital Universitari Quir\u00f3n Dexeus Universitat Aut\u00f2noma de Barcelona c\/Sabino de Arana 5\u201019 08028 Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Ignacio","family":"Erquicia","sequence":"additional","affiliation":[{"name":"ICATME\u2010Hospital Universitari Quir\u00f3n Dexeus Universitat Aut\u00f2noma de Barcelona c\/Sabino de Arana 5\u201019 08028 Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Pelfort","sequence":"additional","affiliation":[{"name":"ICATME\u2010Hospital Universitari Quir\u00f3n Dexeus Universitat Aut\u00f2noma de Barcelona c\/Sabino de Arana 5\u201019 08028 Barcelona Spain"},{"name":"Department of Orthopedic Surgery Parc de Salut Mar Universitat Aut\u00f2noma de Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Tey\u2010Pons","sequence":"additional","affiliation":[{"name":"ICATME\u2010Hospital Universitari Quir\u00f3n Dexeus Universitat Aut\u00f2noma de Barcelona c\/Sabino de Arana 5\u201019 08028 Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Carlos","family":"Monllau","sequence":"additional","affiliation":[{"name":"ICATME\u2010Hospital Universitari Quir\u00f3n Dexeus Universitat Aut\u00f2noma de Barcelona c\/Sabino de Arana 5\u201019 08028 Barcelona Spain"},{"name":"Department of Orthopedic Surgery Parc de Salut Mar Universitat Aut\u00f2noma de Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,7,29]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"7","article-title":"Osteoarthrosis of the knee: a radiographic investigation","volume":"277","author":"Ahlb\u00e4ck S","year":"1968","journal-title":"Acta Radiol Stockholm"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1115\/1.3138409"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20102122\u20103"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jbm.a.32384"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(97)90000\u20101"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20102070\u2010y"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(20)30608-6"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)30585-X"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512463344"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010011\u20101779\u20103"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.20489"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20102087\u20102"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198769030-00005"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010011\u20101785\u20105"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290051301"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e31814c3e15"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20102328\u20104"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(05)80366\u20104"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20102218\u20109"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20936"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200001000-00010"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511433032"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20102261\u20106"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-014-3206-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-014-3206-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-014-3206-z","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T11:50:55Z","timestamp":1760874655000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-014-3206-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,7,29]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,1]]}},"alternative-id":["10.1007\/s00167-014-3206-z"],"URL":"https:\/\/doi.org\/10.1007\/s00167-014-3206-z","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,7,29]]}}}