{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:09:23Z","timestamp":1792789763849,"version":"4.5.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["CARTILAGE"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>The goal was to examine gender differences of patient characteristics and outcome after cartilage repair based on a collective of nearly 5,000 patients. Patient characteristics, accompanying therapies, and outcome (Knee Injury and Osteoarthritis Outcome Score [KOOS], reoperations, patient satisfaction) of 4,986 patients of the German cartilage register DGOU were assessed by t test for possible gender differences. P values &lt;0.05 were considered statistically significant. Women were older than men (38.07 \u00b1 12.54 vs. 26.94 \u00b1 12.394 years, P = 0.002), more often preoperated (0.30 \u00b1 0.63 vs. 0.24 \u00b1 0.55, P = 0.001), and had a longer symptom duration (25.22 \u00b1 41.20 vs. 20.67 \u00b1 35.32 months, P &lt; 0.001). Men had greater mean leg axis malalignment than women (3.24\u00b0 \u00b1 3.26\u00b0 vs. 2.67\u00b0 \u00b1 3.06\u00b0, P &lt; 0.001), less favorable meniscal status ( P = 0.001), worse defect stage ( P = 0.006), and a more severely damaged corresponding articular surface ( P = 0.042). At baseline (59.84 \u00b1 17.49 vs. 52.10 \u00b1 17.77, P &lt; 0.001), after 6 months (72.83 \u00b1 15.56 vs. 66.56 \u00b1 17.66, P &lt; 0.001), after 12 months (77.88 \u00b1 15.95 vs. 73.07 \u00b1 18.12, P &lt; 0.001), and after 24 months (79.311 \u00b1 15.94 vs. 74.39 \u00b1 18.81, P &lt; 0.001), men had better absolute KOOS values, but women had better relative KOOS increases 6 months (14.59 \u00b1 17.31 vs. 12.49 \u00b1 16.3, P = 0.005) as well as 12 months postoperatively (20.27 \u00b1 18.6 vs. 17.34 \u00b1 17.79, P = 0.001) compared with preoperatively, although 12 and 24 months postoperatively they were subjectively less satisfied with the outcome ( P &lt; 0.001) and had a higher reintervention rate at 24 months (0.17 \u00b1 0.38 vs. 0.12 \u00b1 0.33, P = 0.008). In summary, the present work shows specific gender differences in terms of patient characteristics, defect etiology, defect localization, concomitant therapy, and the choice of cartilage repair procedure. Unexpectedly, contrary to the established scientific opinion, it could be demonstrated that women show relatively better postoperative KOOS increases, despite a higher revision rate and higher subjective dissatisfaction.<\/jats:p>","DOI":"10.1177\/1947603520923137","type":"journal-article","created":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T05:29:09Z","timestamp":1590989349000},"page":"837S-845S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Does Gender Influence Outcome in Cartilage Repair Surgery? An Analysis of 4,968 Consecutive Patients from the German Cartilage Registry (Knorpel Register DGOU)"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6570-1308","authenticated-orcid":false,"given":"Svea","family":"Faber","sequence":"first","affiliation":[{"name":"OCM\u2013Orthop\u00e4dische Chirurgie M\u00fcnchen, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Zinser","sequence":"additional","affiliation":[{"name":"St. Vinzenz-Hospital, Dinslaken, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Angele","sequence":"additional","affiliation":[{"name":"Sporthopaedicum, Berlin\u2013Straubing\u2013Regensburg, Straubing, Germany"},{"name":"Klinik f\u00fcr Unfallchirurgie, Universit\u00e4tsklinikum Regensburg, Regensburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunter","family":"Spahn","sequence":"additional","affiliation":[{"name":"Praxisklinik Eisenach, Eisenach, Germany"},{"name":"Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie, Universit\u00e4tsklinikum Jena, Jena, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"L\u00f6er","sequence":"additional","affiliation":[{"name":"Orthop\u00e4die in Essen, Essen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Zellner","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Caritas-Krankenhaus St. Josef Regensburg, Regensburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfred","family":"Hochrein","sequence":"additional","affiliation":[{"name":"OCM\u2013Orthop\u00e4dische Chirurgie M\u00fcnchen, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Niemeyer","sequence":"additional","affiliation":[{"name":"OCM\u2013Orthop\u00e4dische Chirurgie M\u00fcnchen, Munich, Germany"},{"name":"Klinik f\u00fcr Orthop\u00e4die und Traumatologie, Universit\u00e4tsklinikum Freiburg, Freiburg, 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