{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T21:22:14Z","timestamp":1793049734126,"version":"4.5.0"},"reference-count":49,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T00:00:00Z","timestamp":1666656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T00:00:00Z","timestamp":1666656000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T00:00:00Z","timestamp":1666656000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T00:00:00Z","timestamp":1666656000000},"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":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare outcomes after whole\u2010surface osteochondral allograft (OCA) transplantation using shell grafts for treatment of patellofemoral joint lesions with respect to surfaces treated and OCA preservation method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>With institutional review board approval and informed consent, patients were prospectively enrolled into a registry to follow outcomes after OCA transplantation. Patients who received patellofemoral shell OCA to treat the entire articular surface of the patella, trochlea, or both, and with a minimum of 2\u2010year follow\u2010up data, including patient\u2010reported outcome measures (PROMs), failures, and complications, were included. Functional graft survival was determined based on patients returning to functional activities without need for OCA revision or arthroplasty surgery and calculated using the formula: 100% \u2013 (%revision\u00a0+ %failure). Minimum clinically important differences were determined based on previously validated data. Outcomes were compared based on differences in graft preservation methodology (Missouri Osteochondral Preservation System [MOPS] or standard preservation [SP]) and based on surfaces treated (patella, trochlea, or both).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010eight patients met inclusion criteria. Mean age was 36.7 years (range 15\u201060 years) and mean body mass index was 28.9 (range 18\u201042). OCAs stored using SP methods were transplanted in 12 patients, mean follow\u2010up was (66.1 months; range 54\u201070 months): OCAs stored using MOPS methods were transplanted in 46 patients, mean follow\u2010up was (44.8 months; range 24\u201060 months). Graft survival rate at final follow\u2010up was significantly greater (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .025) for MOPS OCAs (98%) compared with SP OCAs (75%), whereas 2\u2010year functional graft survival rates (MOPS 98% vs SP 83%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .1) were not. Reoperation rate was significantly greater (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0014) for SP cases compared with MOPS cases. PROMs showed statistically significant and clinically meaningful improvements through 4 years after unipolar patella, unipolar trochlea, and bipolar patellofemoral OCA transplantation using MOPS grafts. Unipolar patella OCA transplantations were associated with significantly more reduction in pain and significantly better PROMs at 1\u2010year compared with unipolar trochlea and bipolar patellofemoral OCAs.\n                      <jats:bold>Conclusions<\/jats:bold>\n                      : OCA transplantation using MOPS shell grafts for unipolar and bipolar patellofemoral resurfacing was associated with statistically significant and clinically meaningful improvements from preoperative levels of pain and function. The 2\u2010year functional graft survival rate was 83% in the SP group and 98% in the MOPS group, such that MOPS was associated with better short\u2010term outcomes than SP methods when performing OCA transplantation using shell grafts for patellofemoral lesions. Patients who received unipolar patella allografts reported the best outcomes in terms of pain and function.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective analysis of registry data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2022.10.007","type":"journal-article","created":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T12:39:21Z","timestamp":1666701561000},"page":"650-659","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":23,"title":["The Missouri Osteochondral Preservation System Is Associated With Better Short\u2010Term Outcomes Than Standard Preservation Methods When Performing Osteochondral Allograft Transplantation Using Shell Grafts for Patellofemoral Lesions"],"prefix":"10.1002","volume":"39","author":[{"given":"Abdul Fettah","family":"Buyuk","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P.","family":"Stannard","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri USA"},{"name":"Thompson Laboratory for Regenerative Orthopaedics University of Missouri Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylee","family":"Rucinski","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri USA"},{"name":"Thompson Laboratory for Regenerative Orthopaedics University of Missouri Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cory R.","family":"Crecelius","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri USA"},{"name":"Thompson Laboratory for Regenerative Orthopaedics University of Missouri Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James L.","family":"Cook","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri USA"},{"name":"Thompson Laboratory for Regenerative Orthopaedics University of Missouri Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,25]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90124-9"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.55095\/achot2008\/068"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2007.02.001"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3472-9"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-15-00447"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518814236"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517732531"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.02.001"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000171916.40245.5d"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120907343"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1947603518796124"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520907101"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22998"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1947603519855761"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512449321"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119884291"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120967928"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516629434"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516645086"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1608947"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517727516"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517715725"},{"key":"e_1_2_2_24_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1718605"},{"key":"e_1_2_2_25_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.18.00123"},{"key":"e_1_2_2_26_2","first-page":"121","article-title":"Fresh osteochondral allograft transplantation for the knee: Current concepts","volume":"22","author":"Sherman S.L.","year":"2014","journal-title":"J\u00a0Am Acad Orthop Surg"},{"key":"e_1_2_2_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515620193"},{"key":"e_1_2_2_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514564144"},{"key":"e_1_2_2_29_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100041\u20101739202"},{"key":"e_1_2_2_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/1947603516681132"},{"key":"e_1_2_2_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290051301"},{"key":"e_1_2_2_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200004000-00022"},{"key":"e_1_2_2_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001493"},{"key":"e_1_2_2_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518824552"},{"key":"e_1_2_2_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738113499300"},{"key":"e_1_2_2_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509354163"},{"key":"e_1_2_2_37_2","doi-asserted-by":"publisher","DOI":"10.1177\/1947603510365533"},{"key":"e_1_2_2_38_2","first-page":"e10.5435","article-title":"Systematic review of patient outcomes and associated predictors after microfracture in the patellofemoral joint","volume":"3","author":"Smoak J.B.","year":"2019","journal-title":"J\u00a0Am Acad Orthop Surg Glob Res Rev"},{"key":"e_1_2_2_39_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513510884"},{"key":"e_1_2_2_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/19417381211003515"},{"key":"e_1_2_2_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513519077"},{"key":"e_1_2_2_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519886853"},{"key":"e_1_2_2_43_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198811000-00008"},{"key":"e_1_2_2_44_2","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001206010340"},{"key":"e_1_2_2_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.08.021"},{"key":"e_1_2_2_46_2","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2017.9.3.295"},{"key":"e_1_2_2_47_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-018-04280-z"},{"key":"e_1_2_2_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.04.020"},{"key":"e_1_2_2_49_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520980087"},{"key":"e_1_2_2_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2019.06.003"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322006260?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322006260?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.10.007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2022.10.007","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.10.007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:53:28Z","timestamp":1773564808000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2022.10.007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,25]]},"references-count":49,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1016\/j.arthro.2022.10.007"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2022.10.007","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,25]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Missouri Osteochondral Preservation System Is Associated With Better Short-Term Outcomes Than Standard Preservation Methods When Performing Osteochondral Allograft Transplantation Using Shell Grafts for Patellofemoral Lesions","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2022.10.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}