Ten-year follow-up of a prospective, randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint of athletes

Gudas R, Gudaitė A, Pocius A, et al. · The American Journal of Sports Medicine

OAT stayed superior at 10 years (P < .005): failure 14% vs 38%; 75% vs 37% maintained pre-injury activity level. Both arms declined after year 3 — even the winner is not a cure.

Population

Same 57-athlete RCT cohort followed to mean 10.4 years

Intervention

OAT

Comparator

Microfracture

Limitations

Single-center, modest n; athletes only; some score deterioration in both arms.