PMID: 9638021Jun 25, 1998Paper

Role of carbon fibre implants in osteochondral defects of the knee

Irish Journal of Medical Science
P NicholsonJ P McElwain

Abstract

Articular cartilage defects of the knee are a common condition diagnosed at arthroscopy. The management of these osteochondral lesions is controversial. We present our experience using carbon fibre implants to repair these defects in 18 patients. Eleven patients (61 per cent) had an osteochondral defect of the medial femoral condyle. Two patients had isolated patellar defects. The mean knee assessment and functional scores were 75 and 80 respectively using The Knee Society Clinical Rating System. Serial post-operative M.R.I. scanning revealed that there was no loss of implant position with an extensive local tissue response and good joint congruity. Overall, 11 patients (61 per cent) returned to their normal sporting activity, while 3 patients (18 per cent) had a poor result. One of these underwent a patellectomy. We conclude that carbon fibre implants may have a role to play in the management of osteochondral defects of the femoral condyles.

References

Jan 1, 1991·The Journal of Bone and Joint Surgery. British Volume·B F ShahgaldiG Bentley
Dec 1, 1990·The Australian and New Zealand Journal of Surgery·E T MahG Brown
Jan 1, 1990·The Journal of Bone and Joint Surgery. British Volume·D S Muckle, R J Minns
Jan 1, 1982·Scandinavian Journal of Plastic and Reconstructive Surgery·O Engkvist, F af Ekenstam

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Citations

Oct 11, 2005·Critical Care Medicine·Marie M BudevTommaso Falcone
Jan 17, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tommy S de WindtMats Brittberg
Apr 13, 2007·The Knee·W WiduchowskiT Trzaska
Jul 21, 2004·The Knee·U K DebnathR L Williams
Mar 30, 2005·The Journal of Bone and Joint Surgery. British Volume·G D SmithJ B Richardson
Jul 11, 2006·British Journal of Hospital Medicine·A GuptaJ B Richardson
Jun 5, 2003·The Journal of Bone and Joint Surgery. American Volume·Ken N KuoAlexander Templeton

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