{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T01:47:54Z","timestamp":1785548874121,"version":"3.56.0"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T00:00:00Z","timestamp":1691020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T00:00:00Z","timestamp":1691020800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T00:00:00Z","timestamp":1691020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T00:00:00Z","timestamp":1691020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T00:00:00Z","timestamp":1691452800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"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":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the patient\u2010reported outcomes, as well as the revision and complication rates, of patients who underwent arthroscopic bone marrow stimulation (BMS) for an osteochondral lesion of the tibial plafond (OLTP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with an OLTP treated with arthroscopic BMS at a minimum follow\u2010up of 2\u2010years were cross\u2010sectionally included from a historical database. The primary outcome was the Numeric Rating Scale (NRS) during walking. Secondary outcomes included the NRS in rest and during running, and the Foot and Ankle Outcome Score. Additionally, the association of baseline patient and lesion demographics with follow\u2010up patient\u2010reported outcome measures (PROMs) was assessed with the Spearman rank correlation test. A subanalysis was performed for PROMs in patients with or without a coexisting talar (i.e., bipolar) lesion. Finally, the revision surgery (i.e., repeat surgery for the OLTP) and complication rates were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010one patients were included at a mean 8.8 (standard deviation [SD]\u00a0= 5.7, range, 2\u201022) years follow\u2010up. Seventy\u2010three percent of patients had a solitary OLTP, and 27% had a coexisting talar (bipolar) lesion. Males had a significantly higher rate of bipolar lesions compared to females (\n                      <jats:italic>P<\/jats:italic>\n                      \u2264 .01), and patients with a bipolar lesion had a significantly larger OLTP lesion diameter (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .02) and volume (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .04). At final follow\u2010up, the mean NRS during walking was 1.9 (SD\u00a0= 2.3) out of 10. Anterior\u2010posterior OLTP size (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0= 0.36;\n                      <jats:italic>P<\/jats:italic>\n                      \u2264 .01) was significantly associated with a higher NRS pain score during walking, although the presence of bipolar lesions did not result in inferior clinical outcomes. At final follow\u2010up, 6% of patients underwent revision surgery. Minor complications were observed in 12% of patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic BMS for OLTP results in favorable patient\u2010reported outcomes at mid\u2010 to long\u2010term follow\u2010up, although moderate outcomes were observed in sports activities. Lesion size was associated with increased pain scores, although bipolar lesions did not result in inferior patient\u2010reported outcomes. Six percent of patients required revision surgery, and 12% of patients had minor complications after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.07.038","type":"journal-article","created":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T23:35:05Z","timestamp":1691105705000},"page":"910","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Bone Marrow Stimulation for Osteochondral Lesions of the Tibial Plafond Yields Good Patient\u2010Reported Outcomes in Daily Living but Moderate Outcomes in Sports Activities at 2\u2010 to 22\u2013Years Follow\u2010Up"],"prefix":"10.1002","volume":"40","author":[{"given":"Quinten G.H.","family":"Rikken","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine Amsterdam Movement Sciences Amsterdam UMC Location AMC University of Amsterdam Amsterdam The Netherlands"},{"name":"Academic Center for Evidence based Sports medicine (ACES) Amsterdam UMC Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS) International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jari","family":"Dahmen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine Amsterdam Movement Sciences Amsterdam UMC Location AMC University of Amsterdam Amsterdam The Netherlands"},{"name":"Academic Center for Evidence based Sports medicine (ACES) Amsterdam UMC Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS) International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sjoerd A.S.","family":"Stufkens","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine Amsterdam Movement Sciences Amsterdam UMC Location AMC University of Amsterdam Amsterdam The Netherlands"},{"name":"Academic Center for Evidence based Sports medicine (ACES) Amsterdam UMC Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS) International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gino M.M.J.","family":"Kerkhoffs","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine Amsterdam Movement Sciences Amsterdam UMC Location AMC University of Amsterdam Amsterdam The Netherlands"},{"name":"Academic Center for Evidence based Sports medicine (ACES) Amsterdam UMC Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS) International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,3]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.175.5.1751305"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0524"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2020.10.002"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00675"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.20.00190"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007211049169"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4616-5"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.22.00122"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B1.7822395"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.19430"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515626544"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2005.07.004"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3017-2"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007231174198"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2364-8"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002864"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/096228029800700306"},{"key":"e_1_2_3_19_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.01370"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719850145"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.07.022"},{"key":"e_1_2_3_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118790965"},{"key":"e_1_2_3_23_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0662"},{"key":"e_1_2_3_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516668292"},{"key":"e_1_2_3_25_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0865"},{"key":"e_1_2_3_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/19476035231154746"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806323006047?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806323006047?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.2023.07.038","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2023.07.038","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2023.07.038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:47:36Z","timestamp":1773564456000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2023.07.038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,3]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1016\/j.arthro.2023.07.038"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2023.07.038","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}