Autologous osteochondral grafting in the knee: indication, results, and reflections.

Détails

ID Serval
serval:BIB_C2535ECFE4A7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Autologous osteochondral grafting in the knee: indication, results, and reflections.
Périodique
Clinical Orthopaedics and Related Research
Auteur⸱e⸱s
Jakob R.P., Franz T., Gautier E., Mainil-Varlet P.
ISSN
0009-921X (Print)
ISSN-L
0009-921X
Statut éditorial
Publié
Date de publication
2002
Numéro
401
Pages
170-184
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Résumé
The use of multiple autologous osteochondral plugs (mosaicplasty) for repair of articular cartilage defects is a well-accepted technique. Since 1995, the authors have used mosaicplasty to treat more than 110 patients with cartilage defects of the knee, hip, and ankle. The first 52 consecutive patients who had mosaicplasty of the knee and have an average followup of 37 months (range, 24-56 months) were examined. Indications for surgical treatment were osteochondritis dissecans, acute trauma, and posttraumatic lesions of the femorotibial joint, femoropatellar maltracking with recurrent episodes of patella dislocations, and distinct femoropatellar arthrosis. Preoperatively, cartilage defects were classified as International Cartilage Repair Society Grade III lesions in 23 patients and Grade IV lesions in 29 patients. Two years after surgery, an increased level of knee function was found in 86% of the patients. At the latest followup, improved knee function was observed in 92% of the patients. In four patients, reoperation was necessary because of graft failure. Complications and reoperation rate were related to large surface lesions. Autologous osteochondral transplantation is a valid option for the treatment of full-thickness osteochondral defects. However, the method is limited by the defect size and the number of plugs to be taken at the donor site.
Mots-clé
Adolescent, Adult, Aged, Bone Transplantation, Cartilage, Articular/surgery, Cartilage, Articular/transplantation, Female, Humans, Knee Joint/pathology, Knee Joint/surgery, Magnetic Resonance Imaging, Male, Middle Aged, Orthopedic Procedures/methods, Pain, Postoperative Care, Postoperative Complications
Pubmed
Web of science
Création de la notice
26/11/2012 20:12
Dernière modification de la notice
20/08/2019 16:37
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