Modified osteochondral autograft implantation for full- thickness articular cartilage lesions

2003 ◽  
Vol 19 (3) ◽  
pp. 318-320 ◽  
Author(s):  
Richard C. Lehman ◽  
Clayton R. Perry
2005 ◽  
Vol 33 (8) ◽  
pp. 1147-1153 ◽  
Author(s):  
Kai Mithöfer ◽  
Tom Minas ◽  
Lars Peterson ◽  
Howard Yeon ◽  
Lyle J. Micheli

Background Limited information exists about the treatment of full-thickness articular cartilage lesions of the knee in adolescent athletes. Purpose To evaluate the functional outcome and athletic activity after articular cartilage repair in the knees of adolescent athletes. Study Design Case series; Level of evidence, 4. Methods Twenty adolescent athletes with full-thickness articular cartilage lesions of the knee were treated with autologous chondrocyte transplantation. Functional outcome was evaluated by subjective patient outcome rating, knee activity scores, and level of athletic participation. Results At a mean of 47 months after autologous chondrocyte transplantation, 96% of adolescents reported good or excellent results with significant increases in postoperative Tegner activity scores and Lysholm scores. Ninety-six percent returned to high-impact sports and 60% to an athletic level equal or higher than that before knee injury. Return to preinjury sports correlated with shorter preoperative symptoms and a lower number of prior operations. All adolescents with preoperative symptoms ≤12 months returned to preinjury-level athletics, compared to 33% with preoperative intervals longer than 12 months. Conclusion Treatment of full-thickness articular injuries of the knee in adolescent athletes with autologous chondrocyte transplantation yields a high rate of functional success at a mean follow-up of 47 months. The rate of return to demanding athletic activities is higher in cases in which the preoperative duration of symptoms is 12 months or less.


2006 ◽  
Vol 24 (5) ◽  
pp. 1118-1127 ◽  
Author(s):  
Paul E. Di Cesare ◽  
Sally R. Frenkel ◽  
Cathy S. Carlson ◽  
Carrie Fang ◽  
Chuanju Liu

2018 ◽  
Vol 69 (11) ◽  
pp. 3288-3291 ◽  
Author(s):  
Ciprian Alin Bardas ◽  
Gabri Jozsef Zsolt ◽  
Dragos Apostu ◽  
Daniel Oltean Dan ◽  
Gheorghe Tomoaia ◽  
...  

The articular cartilage lesions are frequent and highly affect the patient�s quality of life. Although remarkable progress in the treatment of focal lesions of articular cartilage were lately made, controversies still exist regarding the treatment options. The main purpose of this study was to evaluate and compare the preoperative and 6 months postoperative knee functional scores of patients undergoing arthroscopic repair of knee chondral lesions by: debridement, microfractures, osteochondral autograft transplantation and autologous matrix-induced chondrogenesis. Chondral reconstruction with collagen membranes and osteochondral autograft transplantation techniques showed a superior result at 6 months postoperatively compared to microfracture techniques and mechanical debridement.


2014 ◽  
Vol 28 (02) ◽  
pp. 145-150 ◽  
Author(s):  
Karen Briggs ◽  
Lauren Matheny ◽  
Alyson Guillet ◽  
Chad Hanson ◽  
S. Willimon ◽  
...  

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