Favourable long-term functional and radiographical outcome after osteoautograft transplantation surgery of the knee: a minimum 10-year follow-up

Favourable long-term functional and radiographical outcome after osteoautograft transplantation... Purpose The aim of this study was to assess the progression of radiological cartilage changes and to document the functional, long-term results during a follow-up of 10 years after osteoautograft transplantation (OAT) knee surgery. Methods The study was a retrospective analysis of all patients who underwent OAT at Turku University Hospital from 1999 to 2007. Pre- and postoperative cartilage changes were estimated based on standardised radiographs. The extent of osteoarthritis (OA) was graded according to the Kellgren–Lawrence scale. Clinical outcomes were evaluated with the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. Results A total of 60 patients (64 knees) with a median age of 30 years (range 14–62) were included. The median follow-up was 140 months (range 47–205). Of the 64 knees examined, 14 (22%) had a traumatic chondral lesion and 50 (78%) had osteochondritis dissecans (OCD). Preoperatively, 71% of the patients had Kellgren–Lawrence grades of 0–1; during the follow-up period, 50% of the patients showed radiographical progression of OA. OA progressed most significantly in patients with normal preoperative Kellgren–Lawrence grades (p = 0.0003). Patients with no progression in joint space narrowing had statistically significantly better overall KOOS (p = 0.02) than patients whose Kellgren–Lawrence grades worsened. Patients with defect sizes http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Knee Surgery, Sports Traumatology, Arthroscopy Springer Journals

Favourable long-term functional and radiographical outcome after osteoautograft transplantation surgery of the knee: a minimum 10-year follow-up

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Publisher
Springer Journals
Copyright
Copyright © 2018 by European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA)
Subject
Medicine & Public Health; Orthopedics
ISSN
0942-2056
eISSN
1433-7347
D.O.I.
10.1007/s00167-018-4995-2
Publisher site
See Article on Publisher Site

Abstract

Purpose The aim of this study was to assess the progression of radiological cartilage changes and to document the functional, long-term results during a follow-up of 10 years after osteoautograft transplantation (OAT) knee surgery. Methods The study was a retrospective analysis of all patients who underwent OAT at Turku University Hospital from 1999 to 2007. Pre- and postoperative cartilage changes were estimated based on standardised radiographs. The extent of osteoarthritis (OA) was graded according to the Kellgren–Lawrence scale. Clinical outcomes were evaluated with the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. Results A total of 60 patients (64 knees) with a median age of 30 years (range 14–62) were included. The median follow-up was 140 months (range 47–205). Of the 64 knees examined, 14 (22%) had a traumatic chondral lesion and 50 (78%) had osteochondritis dissecans (OCD). Preoperatively, 71% of the patients had Kellgren–Lawrence grades of 0–1; during the follow-up period, 50% of the patients showed radiographical progression of OA. OA progressed most significantly in patients with normal preoperative Kellgren–Lawrence grades (p = 0.0003). Patients with no progression in joint space narrowing had statistically significantly better overall KOOS (p = 0.02) than patients whose Kellgren–Lawrence grades worsened. Patients with defect sizes

Journal

Knee Surgery, Sports Traumatology, Arthroscopy – Springer Journals

Published: Jun 2, 2018

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