Osteochondral autografting (mosaicplasty) in grade IV cartilage defects in the knee joint: 2- to 7-year results

International Orthopaedics
Alpaslan OztürkYüksel Ozkan

Abstract

The use of autologous osteochondral grafts (mosaicplasty) to repair articular cartilage defects is a well-established technique. Between 1998 and 2003, 19 patients with grade IV cartilage defects in the knee joint were treated by mosaicplasty. The average age of these 13 men (68%) and six women (32%) was 33.1 years (20-46). The mean follow-up was 32.4 months (84-24). The mean preoperative and postoperative Lysholm score was 45.8 (21-60) and 87.5 (74-100), respectively (p<0.001). Postoperative evaluation showed significant improvement. The results at the last follow-up were excellent in seven patients (27%), good in 11 patients (58%) and fair in one patient (15%). Preoperative complaints of pain, crepitation and locking disappeared in all patients. Magnetic resonance imaging (MRI) examination at the last follow-up visit revealed that congruency was restored in 16 (84.2%) without any signs of fissuring or delamination but in three patients (15.8%) a 1-mm difference between graft and recipient surface was detected. No complications were observed in the patients. Mosaicplasty is a really effective method of treatment for grade IV cartilage lesions in the knee joint.

References

May 1, 1996·Clinical Orthopaedics and Related Research·M BrittbergL Peterson
Jan 1, 1996·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·V Bobić
Aug 1, 1997·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·W W CurlG G Poehling
Jan 1, 1997·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·L HangodyI Udvarhelyi
Apr 21, 1998·The American Journal of Sports Medicine·A P Newman
Aug 26, 1998·The Orthopedic Clinics of North America·S J Hattrup
Oct 6, 1998·The Journal of Bone and Joint Surgery. American Volume·H G PotterS B Haas
Dec 18, 2001·Seminars in Musculoskeletal Radiology·L AlparslanT Minas
Aug 2, 2002·Clinical Orthopaedics and Related Research·Roland P JakobPierre Mainil-Varlet
Sep 4, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James C Y ChowCharalampos G Zalavras
Apr 1, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Maurilio MarcacciAlessandro Russo

❮ Previous
Next ❯

Citations

Nov 19, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jan P BenthienPeter Behrens
Oct 18, 2007·International Orthopaedics·Jun-Ichi NakayamaMasahiro Kurosaka
Feb 18, 2010·International Orthopaedics·Mazen FalahGershon Volpin
Sep 30, 2014·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Christian CarulliMassimo Innocenti
Dec 9, 2014·The Knee·Giuseppe FilardoMaurilio Marcacci
Apr 1, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Deepak GoyalArash Sharafat Vaziri
Oct 8, 2013·The Journal of Surgical Research·Iris SchleicherReinhard Schnettler
Apr 14, 2009·The Knee·John J KeelingFrancis X McGuigan
Jun 20, 2008·Veterinary Surgery : VS·James L CookKeiichi Kuroki
Mar 6, 2013·ANZ Journal of Surgery·Ken YePeter F M Choong
Mar 31, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·J CognaultD Saragaglia
Jun 30, 2009·The American Journal of Sports Medicine·Padhraig F O'LoughlinJohn G Kennedy
Oct 27, 2006·Expert Review of Medical Devices·Catherine F KellettAllan E Gross
Apr 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Asheesh BediRiley J Williams
May 6, 2011·Expert Review of Medical Devices·D Alex StrohMichael A Mont
Apr 18, 2012·The Physician and Sportsmedicine·Lauren H RedlerWilliam N Levine
Mar 1, 2017·Health Technology Assessment : HTA·Hema MistryNorman Waugh
Apr 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Robert F LaPradeJulie Agel
Jun 27, 2020·Radiologia brasileira·Anthony Reis Mello SouzaLuiz Guilherme de Carvalho Hartmann
May 3, 2007·Wiener medizinische Wochenschrift·Martin Pietsch, Siegfried Hofmann
Sep 5, 2017·Obere Extremität·Sophia M HünnebeckSven Lichtenberg
Sep 5, 2018·Der Orthopäde·A RauchL Kohn
May 1, 2013·Journal of Orthopaedic Surgery·Maria Mercedes Reverte-VinaixaRosa Dominguez-Oronoz
Dec 14, 2018·Experimental and Therapeutic Medicine·Shiqiang RuanWenliang Huang
May 15, 2019·The American Journal of Sports Medicine·Kristofer J JonesPeter D Fabricant
Feb 2, 2021·Frontiers in Bioengineering and Biotechnology·Ilona UzielieneAli Mobasheri

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.

Related Papers

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
James C Y ChowCharalampos G Zalavras
Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
F Alan Barber, James C Y Chow
Orthopaedics & Traumatology, Surgery & Research : OTSR
D OllatFrench Arthroscopy Society
Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
L HangodyI Udvarhelyi
© 2021 Meta ULC. All rights reserved