Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Hospital Aachen, Aachen, Germany.
Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081, Baronissi, SA, Italy.
J Orthop Traumatol. 2021 Oct 6;22(1):39. doi: 10.1186/s10195-021-00603-w.
The present systematic review analysed the available literature to assess reliability of the Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) score in the evaluation of knee and ankle osteochondral lesions.
All the studies using the MOCART score for knee and/or talus chondral defects were accessed in March 2021. A multivariate analysis was performed to assess associations between the MOCART score at last follow-up and data of patients at baseline, clinical scores and complications. A multiple linear model regression analysis was used.
The MOCART score evidenced no association with patient age (P = 0.6), sex (P = 0.1), body mass index (P = 0.06), defect size (P = 0.9), prior length of symptoms (P = 0.9) or visual analogue scale (P = 0.07). For chondral defects of the knee, no statistically significant association was found between the MOCART score and the International Knee Documentation Committee (P = 0.9) and with the Lysholm Knee Scoring Scales (P = 0.2), Tegner Activity Scale (P = 0.2), visual analogue scale P = 0.07), rate of failure (P = 0.2) and revision (P = 0.9). For chondral defect of the talus, no statistically significant associations were found between the MOCART score and the American Orthopedic Foot and Ankle Score (P = 0.3), Tegner Activity Scale (P = 0.4), visual analogue scale (P = 0.1), rate of failure (P = 0.1) and revision (P = 0.7).
The MOCART score demonstrated no association with patient characteristics and with the surgical outcome in patients who underwent surgical management for knee and talus chondral defects.
Level IV.
本系统评价分析了现有文献，以评估磁共振软骨修复组织评分（MOCART）在膝关节和踝关节骨软骨病变评估中的可靠性。
2021 年 3 月检索了所有使用 MOCART 评分评估膝关节和/或距骨软骨缺损的研究。进行了多变量分析，以评估末次随访时 MOCART 评分与患者基线时的患者特征、临床评分和并发症之间的关系。使用多元线性模型回归分析。
MOCART 评分与患者年龄（P=0.6）、性别（P=0.1）、体重指数（P=0.06）、缺损大小（P=0.9）、症状持续时间（P=0.9）或视觉模拟评分（P=0.07）无关。对于膝关节的软骨缺损，MOCART 评分与国际膝关节文献委员会评分（P=0.9）和 Lysholm 膝关节评分量表（P=0.2）、Tegner 活动量表（P=0.2）、视觉模拟评分（P=0.07）、失败率（P=0.2）和翻修率（P=0.9）均无统计学显著相关性。对于距骨软骨缺损，MOCART 评分与美国骨科足踝协会评分（P=0.3）、Tegner 活动量表（P=0.4）、视觉模拟评分（P=0.1）、失败率（P=0.1）和翻修率（P=0.7）均无统计学显著相关性。
在接受膝关节和距骨软骨缺损手术治疗的患者中，MOCART 评分与患者特征及手术结果无关。
IV 级。
