OE JOURNAL
OE Journal
Vol. 14 | Iss. 15 | August 2026 - 24 Studies
Questions This Issue Explores
In adults undergoing primary THA, does CoC bearing surfaces compared with MoP, MoHXLPE, CoP, or CoHXLPE, improve implant survivorship, reduce complications, enhance functional outcomes, and decrease radiographic wear and osteolysis during short- to long-term follow-up?
In skeletally mature patients undergoing surgical fixation of ankle fractures, does postoperative cast immobilization for more than 2 weeks, compared with early functional treatment (≤2 weeks of cast immobilization followed by mobilization), reduce wound complications?
In adults with chronic lateral ankle instability and a repairable anterior talofibular ligament injury, does arthroscopic Broström–Gould repair provide comparable functional outcomes and faster early recovery than open Broström–Gould repair over 24 months?
In adults with lumbar disc herniation managed surgically or non-surgically, does structured physical exercise reduce pain compared with usual care or other treatments without structured exercise over short to medium-term follow-up?
In adults undergoing FOCA transplantation for focal osteochondral lesions of the knee, does augmentation with BMAC improve early osseous graft integration and clinical outcomes compared with FOCA transplantation without BMAC over 24 months?
EDITOR'S PICK 
Bone Marrow Aspirate Concentrate on Early Osseous Integration of Fresh Osteochondral Allografts
36 patients undergoing fresh osteochondral allograft (FOCA) transplantation for focal osteochondral lesions of the knee were randomized to receive bone marrow aspirate concentrate augmentation (BMAC) or no BMAC. The primary outcome was osseous integration assessed on computed tomography using the semiquantitative assessment computed tomography osteochondral allograft scoring system. Other outcomes included graft signal density, cleft formation, cystic changes, intra-articular fragments, International Knee Documentation Committee (IKDC) score, Kujala score, Western Ontario Meniscal Evaluation Tool (WOMET) score, and Tegner activity score. Computed tomography outcomes were assessed at 3, 6, and 12 months, while clinical outcomes were assessed at 6, 12, and 24 months. Overall, BMAC improved osseous integration at the host-graft junction at 3 months, but this advantage was no longer present at 6 or 12 months. Patient-reported outcomes were comparable between groups, suggesting that BMAC may accelerate early graft incorporation without providing superior short-term clinical outcomes.
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