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June 11, 2026Orthopaedic Journal of Sports MedicineOpen Access

Defining the Minimal Clinically Important Difference and Patient Acceptable Symptom State for Isolated Microfracture of the Knee at 5-Year Follow-up

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Authors

RBRodrigo Saad BerretaZKZeeshan A. KhanSASachin Allahabadi

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Overview

Case-control study defines MCID and PASS for knee microfracture, highlighting predictive factors for outcomes.

Key Points

  • The research aims to establish the MCID and PASS for knee microfracture at a minimum 5-year follow-up and explore predictive factors for achieving these outcomes.
  • Retrospective case-control study of patients who underwent isolated knee microfracture from 2013 to 2018.
  • Distribution-based and anchor-based methods determined MCID and PASS thresholds, respectively.
  • Multivariate logistic regression identified factors influencing MCID and PASS achievement.
  • IKDC MCID threshold was 11.13 with a 68.57% achievement rate.
  • KOOS Pain PASS threshold was 85.54 with a 51.43% achievement rate.
  • Factors such as lower BMI, smaller lesion sizes, and lower K-L grades were predictive of achieving MCID and PASS.

Cite This Study

Berreta et al. (2026) studied this question.

synapsesocial.com/papers/6a2a523480c8f91e7f39e333https://doi.org/10.1177/23259671251384871
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