Abstract

ZICARO, Juan Pablo; MOLINA ROMOLI, Agustín; YACUZZI, Carlos H  and  COSTA PAZ, Matías. Trasplante osteocondral autólogo para tratar lesiones osteocondrales de la rodilla: evaluación de 62 pacientes con un seguimiento promedio de ocho años. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2018, vol.83, n.2, pp.107-112. ISSN 1852-7434.

Introduction: Osteochondral autograft transplantation is a surgical alternative for osteochondral defects of the knee. The aim of this study was to analyze a series of 62 patients treated with osteochondral autograft transplantation of the knee and an average follow-up of 8 years. Methods: A total of 62 patients treated with osteochondral autograft transplantation between 2001 and 2014 were evaluated. Patients with focal osteochondral lesions who underwent osteochondral autograft transplantation alone or associated with another procedure and a minimum follow-up of 2 years were included. Lysholm score, IKDC, and Kellgren- Lawrence radiographic scale were used. Forty-five men and 17 women (average age 36 years) were evaluated. Lesions were localized in medial condyle (35), lateral condyle (12), patella (12), and three were combined. Forty-two patients underwent isolated osteochondral autograft transplantation while 20 patients underwent associated surgical procedures. Results: Mean Lysholm score was 80.1 and IKDC score was 66.7. There were no significant differences in the Lysholm and IKDC scores between groups. Radiographic results demonstrated complete graft incorporation in 30 patients. Clinical evaluation revealed satisfactory results. Conclusion: Osteochondral autograft transplantation to treat osteochondral lesions is a procedure with a high clinical satisfaction and good functional results in patients with focal osteochondral lesions.

Keywords : Osteochondral autograft transplantation; Cartilage; Knee; Osteochondral lesion.

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