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
DOI
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

References

  • Osteochondritis dissecans of the femoral condyles. Long-term results of excision of the fragment
    Anderson, AF; Pagnani, MJ
  • The surgical management of symptomatic articular cartilage defects of the knee: consensus statements from United Kingdom knee surgeons
    Biant, LC; McNicholas, MJ; Sprowson, AP; Spalding, T
  • Arthroscopic mosaicplasty: long-term outcome and joint degeneration progression
    Filardo, G; Kon, E; Perdisa, F; Tetta, C; Martino, A; Marcacci, M
  • Ten-year follow-up of a prospective, randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint of athletes
    Gudas, R; Gudaite, A; Pocius, A; Gudiene, A; Cekanauskas, E; Monastyreckiene, E; Basevicius, A
  • A prospective randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint in young athletes
    Gudas, R; Kalesinskas, RJ; Kimtys, V; Stankevicius, E; Toliusis, V; Bernotavicius, G; Smailys, A
  • A prospective, randomized clinical study of osteochondral autologous transplantation versus microfracture for the treatment of osteochondritis dissecans in the knee joint in children
    Gudas, R; Simonaityte, R; Cekanauskas, E; Tamosiūnas, R
  • Osteochondral defects in the human knee: influence of defect size on cartilage rim stress and load redistribution to surrounding cartilage
    Guettler, JH; Demetropoulos, CK; Yang, KH; Jurist, KA
  • Clinical experiences with autologous osteochondral mosaicplasty in an athletic population: a 17-year prospective multicenter study
    Hangody, L; Dobos, J; Balo, E; Panics, G; Rudolf Hangody, L; Berkes, I
  • AUTOLOGOUS OSTEOCHONDRAL MOSAICPLASTY FOR THE TREATMENT OF FULL-THICKNESS DEFECTS OF WEIGHT-BEARING JOINTS
    HANGODY, LÁSZLÓ; FÜLES, PÉTER
  • surgical management of osteochondritis dissecans lesions of the patella and trochlea in the pediatric and adolescent population
    Kramer, DE; Yen, Y-M; Simoni, MK; Miller, PE; Micheli, LJ; Kocher, MS; Heyworth, BE
  • Activity levels are higher after osteochondral autograft transfer mosaicplasty than after microfracture for articular cartilage defects of the knee: a retrospective comparative study
    Krych, AJ; Harnly, HW; Rodeo, SA; Williams, RJ
  • 6-year follow-up of 84 patients with cartilage defects in the knee. Knee scores improved but recovery was incomplete
    Loken, S; Heir, S; Holme, I; Engebretsen, L; Aroen, A
  • Arthroscopic autologous osteochondral grafting for cartilage defects of the knee: prospective study results at a minimum 7-year follow-up
    Marcacci, M; Kon, E; Delcogliano, M; Filardo, G; Busacca, M; Zaffagnini, S
  • The microfracture technique for the treatment of articular cartilage lesions in the knee. A prospective cohort study
    Mithoefer, K; Williams, RJ; Warren, RF; Potter, HG; Spock, CR; Jones, EC; Wickiewicz, TL; Marx, RG
  • Results of osteochondral autologous transplantation in the knee
    Muller, S; Breederveld, RS; Tuinebreijer, WE
  • Osteochondritis dissecans of the knee; long-term clinical outcome following arthroscopic debridement
    Murray, JRD; Chitnavis, J; Dixon, P; Hogan, NA; Parker, G; Parish, EN; Cross, MJ
  • Long-term outcomes after osteochondral autograft transfer: a systematic review at mean follow-up of 10.2 years
    Pareek, A; Reardon, PJ; Maak, TG; Levy, BA; Stuart, MJ; Krych, AJ
  • Knee injury and Osteoarthritis Outcome Score (KOOS)—validation and comparison to the WOMAC in total knee replacement
    Roos, EM; Toksvig-Larsen, S
  • High rate of osteoarthritis after osteochondritis dissecans fragment excision compared with surgical restoration at a mean 16-year follow-UP
    Sanders, TL; Pareek, A; Obey, MR; Johnson, NR; Carey, JL; Stuart, MJ; Krych, AJ
  • Osteochondral autograft transplantation for osteochondritis dissecans of the knee preliminary results of a prospective case series
    Smolders, JMH; Kock, NB; Koeter, S; Susante, JLC
  • Randomized study of long-term (15–17 years) outcome after microfracture versus mosaicplasty in knee articular cartilage defects
    Solheim, E; Hegna, J; Strand, T; Harlem, T; Inderhaug, E
  • Outcomes of microfracture for traumatic chondral defects of the knee: average 11-year follow-up
    Steadman, JR; Briggs, KK; Rodrigo, JJ; Kocher, MS; Gill, TJ; Rodkey, WG
  • Microfracture technique versus osteochondral autologous transplantation mosaicplasty in patients with articular chondral lesions of the knee: a prospective randomized trial with long-term follow-up
    Ulstein, S; Årøen, A; Røtterud, JH; Løken, S; Engebretsen, L; Heir, S

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