Autologous osteochondral transplantation for the treatment of knee lesions: Results and limitations at two years' follow-up

Giuseppe Filardo, Elizaveta Kon, Francesco Perdisa, Federica Balboni, Maurilio Marcacci

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Focal chondral and osteochondral knee lesions are a common condition, particularly hard to treat, and often involve young active patients with high expectations in terms of symptomatic relief and return to sports. Autologous osteochondral transplantation allows the defect area to be restored with hyaline cartilage. The aim of this study is to analyse whether it represents a safe and effective treatment option for small-medium-sized knee chondral and osteochondral lesions in a young and active population. Methods: Thirty-one patients (18 men, 13 women; mean age 32±ten; mean BMI 24±3) affected by focal knee chondral and osteochondral lesions were enrolled and treated with autologous osteochondral transplantation. They were prospectively followed-up for 24 months with the IKDC-subjective, IKDC-objective, and Tegner scores. Adverse events and failures were also reported, as well as the Bandi score to detect symptoms from the donor area. Results: A significant increase was reported in all the clinical scores adopted. In particular, the IKDC-subjective score increased from a basal value of 40.3±16.2 to 62.6±18.0 at the 12 months' evaluation, with a further significant increase up to 71.6±20.5 at the final 24 months' follow-up (p

Original languageEnglish
Pages (from-to)1905-1912
Number of pages8
JournalInternational Orthopaedics
Volume38
Issue number9
DOIs
Publication statusPublished - 2014

Keywords

  • Autologous osteochondral transplantation
  • Cartilage
  • Knee

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Medicine(all)

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