Osteochondral autografts in full thickness patella cartilage lesions

The Knee
David FigueroaAlex Vaisman

Abstract

The purpose of this study was to evaluate clinical, functional and imaging results of full thickness patella cartilage lesions treated with osteochondral autografts (OCA). We studied a consecutive case series of 10 patients. At follow-up, Lysholm and International Knee Documentation Committee (IKDC) scores were obtained. Magnetic resonance imaging (MRI) evaluation was performed at an average of 8 months post-op. The average cartilage lesion area was 1.2 cm(2). An average of 1.9 grafts was used per patient. The average Lysholm scores were: pre-op 73.8±8.36; post-op 95±4.47 points (p<0.05). The average IKDC post-op score was 95±1.74 points. No postoperative complications were registered. In the MRI analysis we found that in all cases, OCA presented flush characteristics when compared with adjacent cartilage. The majority of cases presented no fissures in the graft-receptor interface (60%). In 80% we observed mild bone marrow edema around the graft. According to the International Cartilage Research Society (ICRS) cartilage lesions classification, all grafts were considered 1A; in the periphery cartilage was classified as 1A in 60%. We conclude that patellar OCA is a good alternative for the treatment of full thickness patellar car...Continue Reading

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Citations

Jul 6, 2014·Clinics in Sports Medicine·Adam B YankeBrian J Cole
Apr 9, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Diego Costa AsturMoisés Cohen
Jan 18, 2015·The American Journal of Sports Medicine·Guilherme C GracitelliWilliam D Bugbee
May 31, 2014·The Journal of Bone and Joint Surgery. American Volume·Diego Costa AsturMoises Cohen
Jun 11, 2019·Journal of Orthopaedic Surgery·Erkan Akgün, Ahmet Onur Akpolat
Dec 18, 2019·Cartilage·Renato AndradeJoão Espregueira-Mendes
Jan 4, 2020·The American Journal of Sports Medicine·Betina B HinckelSeth L Sherman
Nov 2, 2019·Orthopaedic Journal of Sports Medicine·Rodrigo DonosoJamil Saavedra
Apr 14, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Robert H BrophyJoseph D Lamplot
Jul 31, 2020·Orthopaedic Journal of Sports Medicine·David FigueroaClaudio Yañez
May 1, 2012·Revista Brasileira De Ortopedia·Moises CohenAbdalla Skaf
Jan 21, 2021·The Journal of Bone and Joint Surgery. American Volume·Travis J DekkerRobert F LaPrade

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