Utilizzo di trapianti autologhi per la ricostruzione dei difetti osteocondrali di ginocchio negli adulti

Translated title of the contribution: Autologous grafts for knee osteochondral defect reconstruction in adults

M. Marcacci, S. Zaffagnini, E. Kon, M. P. Neri, I. Loreti, A. Vascellari

Research output: Contribution to journalArticle

Abstract

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 contributionAutologous grafts for knee osteochondral defect reconstruction in adults
Original languageItalian
Pages (from-to)109-117
Number of pages9
JournalJournal of Sports Traumatology and Related Research
Volume20
Issue number2
Publication statusPublished - 1998

ASJC Scopus subject areas

  • Surgery

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