{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T11:50:07Z","timestamp":1792842607046,"version":"4.5.0"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,11,12]],"date-time":"2012-11-12T00:00:00Z","timestamp":1352678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2012,11,12]],"date-time":"2012-11-12T00:00:00Z","timestamp":1352678400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2012,11,12]],"date-time":"2012-11-12T00:00:00Z","timestamp":1352678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2012,11,12]],"date-time":"2012-11-12T00:00:00Z","timestamp":1352678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the concomitant treatment of articular cartilage damage in the medial femoral condyle with osteochondral autologous transplantation (OAT), microfracture, or debridement procedures at the time of anterior cruciate ligament (ACL) reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 2006 and 2009, 102 patients with a mean age of 34.1 years and with an ACL rupture and articular cartilage damage in the medial femoral condyle of the knee were randomized to undergo OAT, microfractures, or debridement at the time of ACL reconstruction. A matched control group was included, comprising 34 patients with intact articular cartilage at the time of ACL reconstruction. There were 34 patients in the OAT\u2010ACL group, 34 in the microfracture (MF)\u2013ACL group, 34 in the debridement (D)\u2013ACL group, and 34 in the control group with intact articular cartilage (IAC\u2010ACL group). The mean time from ACL injury to operation was 19.32 \u00b1 3.43 months, and the mean follow\u2010up was 36.1 months (range, 34 to 37 months). Patients were evaluated with the International Knee Documentation Committee (IKDC) score, Tegner activity score, and clinical assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 102 patients, 97 (95%) were available for the final follow\u2010up. According to the subjective IKDC score, all 4 groups fared significantly better at the 3\u2010year follow\u2010up than preoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .005). The OAT\u2010ACL group's IKDC subjective knee evaluation was significantly better than that of the MF\u2010ACL group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .024) and D\u2010ACL group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .018). However, the IKDC subjective score of the IAC\u2010ACL group was significantly better than the OAT\u2010ACL group's IKDC evaluation (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.043). There was no significant difference between the MF\u2010ACL and D\u2010ACL groups\u2019 IKDC subjective scores (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.058). Evaluation of manual pivot\u2010shift knee laxity according to the IKDC knee examination form showed similar findings for the 4 groups immediately postoperatively and at 3\u2010year follow\u2010up, and the findings were rated as normal or nearly normal (IKDC grade A or B) in 29 of 33 patients (88%) in the OAT\u2010ACL group, 28 of 32 patients (88%) in the MF\u2010ACL group, 27 of 32 patients (84%) in the D\u2010ACL group, and 31 of 34 patients (91%) in the IAC\u2010ACL group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study shows that intact articular cartilage during ACL reconstruction yields more favorable IKDC subjective scores compared with any other articular cartilage surgery type. However, if an articular defect is present, the subjective IKDC scores are significantly better for OAT versus microfracture or debridement after a mean period of 3 years. Anterior knee stability results were not significantly affected by the different articular cartilage treatment methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level\u00a0of Evidence<\/jats:title>\n                    <jats:p>Level II, prospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2012.06.009","type":"journal-article","created":{"date-parts":[[2012,11,9]],"date-time":"2012-11-09T00:02:37Z","timestamp":1352419357000},"page":"89-97","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":136,"title":["Comparison of Osteochondral Autologous Transplantation, Microfracture, or Debridement Techniques in Articular Cartilage Lesions Associated With Anterior Cruciate Ligament Injury: A Prospective Study With a 3\u2010Year Follow\u2010up"],"prefix":"10.1002","volume":"29","author":[{"given":"Rimtautas","family":"Gudas","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Trauma Hospital of Lithuanian University of Health Sciences Kaunas Clinics Kaunas Lithuania"},{"name":"Sports Institute of Lithuanian University of Health Sciences Kaunas Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agn\u0117","family":"Gudait\u0117","sequence":"additional","affiliation":[{"name":"Lithuanian University of Health Sciences Kaunas Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomas","family":"Mickevi\u010dius","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Hospital of Lithuanian University of Health Sciences Kaunas Clinics Kaunas Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nerijus","family":"Masiulis","sequence":"additional","affiliation":[{"name":"Lithuanian Academy of Physical Education Kaunas Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasa","family":"Simonaityt\u0117","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Hospital of Lithuanian University of Health Sciences Kaunas Clinics Kaunas Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilis","family":"\u010cekanauskas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Hospital of Lithuanian University of Health Sciences Kaunas Clinics Kaunas Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albertas","family":"Skurvydas","sequence":"additional","affiliation":[{"name":"Lithuanian Academy of Physical Education Kaunas 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