{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T16:21:22Z","timestamp":1793118082531,"version":"4.5.0"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,11,22]],"date-time":"2018-11-22T00:00:00Z","timestamp":1542844800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,11,22]],"date-time":"2018-11-22T00:00:00Z","timestamp":1542844800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2018,11,22]],"date-time":"2018-11-22T00:00:00Z","timestamp":1542844800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,11,22]],"date-time":"2018-11-22T00:00:00Z","timestamp":1542844800000},"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":[[2019,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To provide updated surgical trends of cartilage procedures differentiated by the classic groups of palliative, repair, and restorative modalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The American College of Surgeons National Surgical Quality Improvement Program database was queried from 2010\u20102016 for the following cartilage procedures: chondroplasty, microfracture, arthroscopic osteochondral autograft or allograft transplantation, open osteochondral autograft or allograft transplantation, and autologous chondrocyte implantation. Demographic variables and short\u2010term (30\u2010day) complications were analyzed with 1\u2010way analysis of variance and post hoc analysis. Linear regression analysis was performed to analyze trends over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 15,609 procedures performed between 2010 and 2016 were analyzed. On average, 342.2 \u00b1 27.9 cartilage procedures were performed per 100,000 operations. There was a linear increase in the management of overall cartilage procedures per 100,000 operations (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .002). There were also linear increases in arthroscopic osteochondral autograft transplantation, arthroscopic osteochondral allograft transplantation, open osteochondral autograft transplantation, open osteochondral allograft transplantation, and autologous chondrocyte implantation (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .037,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .006, and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .002, respectively). Meniscectomy was the most frequently performed concomitant procedure (9.7%\u201064.2% of cases). Chondroplasty and microfracture showed no change in frequency over time (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .140 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .720, respectively). The overall complication rate was 2.1% for chondroplasty, 1.4% for microfracture, 1.8% for arthroscopic osteochondral autograft transplantation, 1.0% for arthroscopic osteochondral allograft transplantation, 1.4% for open osteochondral autograft transplantation, 1.1% for open osteochondral allograft transplantation, and 0.75% for autologous chondrocyte implantation. Deep vein thrombosis was the most common complication, occurring in 0.4% to 1.0% of cases. No statistically significant difference was found in complication rates between procedures (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .105).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cartilage restoration is becoming an increasingly popular modality to address chondral defects. Minimal complication rates suggest that these procedures may be safely performed concomitantly with other interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective database analysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2018.07.049","type":"journal-article","created":{"date-parts":[[2018,11,22]],"date-time":"2018-11-22T17:54:08Z","timestamp":1542909248000},"page":"138-146","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":51,"title":["Management of Chondral Lesions of the Knee: Analysis of Trends and Short\u2010Term Complications Using the National Surgical Quality Improvement Program Database"],"prefix":"10.1002","volume":"35","author":[{"given":"Anirudh K.","family":"Gowd","sequence":"first","affiliation":[{"name":"Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory L.","family":"Cvetanovich","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Ohio State University Wexner Medical Center Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph N.","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Loma Linda University Medical Center Loma Linda California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Christian","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon C.","family":"Cabarcas","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L.","family":"Redondo","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil N.","family":"Verma","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam B.","family":"Yanke","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian J.","family":"Cole","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,22]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062050-00001"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504273510"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453679608994664"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(84)90031-9"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1618592"},{"key":"e_1_2_2_7_2","first-page":"1778","article-title":"Surgical management of articular cartilage defects in the knee","volume":"91","author":"Cole B.J.","year":"2009","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00087"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01329"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515577786"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515578838"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514536020"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00169"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.08.016"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.25"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3597-7"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.02.037"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516676072"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.04.020"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/1947603516630786"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517745281"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.11.001"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2614-9"},{"key":"e_1_2_2_24_2","unstructured":"Hancock KJ Westermann RR Shamrock AG Duchman KR Wolf BR Amendola A. 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