The purpose of this study was to evaluate the clinical outcome of large osteochondral graft used for substitution of cartilage defects on the weight- bearing zone of femoral condyles. Fifteen patients (7F, 8M, mean age 31 years) that presented at least more than 1,5 cm square defect on the lateral or medial condyle underwent a preparation of the defect that was replaced with an osteochondral graft of the same size taken from the superior aspect of the lateral condyle. The mean follow-up of these patients was 5 years (min 1, max 11 years). Lysholm, Brittberg, IKDC score and Cincinnati scale, were used for clinical evaluation. A-P and lateral view as well as CT were used as X-ray control. Lysholm, Brittberg and IKDC score showed 12 highly satisfactory results with resumption of normal pre injury level, 1 case had slight problem especially during strenuous activity, while 2 cases failed. X- ray evaluation demonstrated good integration of the graft in the host bone. The worst cases presented kissing lesions and axial deviations. The results of this technique at relatively long follow-up are encouraging with a high percentage of subjective satisfaction. This technique appears to be reliable and a valid solution for treatment of wide cartilage defect where arthroscopic techniques can be too complex or inadequate.
|Translated title of the contribution||Autologous grafts for knee osteochondral defect reconstruction in adults|
|Number of pages||9|
|Journal||Journal of Sports Traumatology and Related Research|
|Publication status||Published - 1998|
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