M. Arcuri (Sorocaba, BR)

Instituto Cohen

Presenter Of 1 Presentation

Poster Cartilage /Cell Transplantation

P081 - Long Term Functional and Clinical Outcomes After Patellar Osteochondral Autologous Transplantation: Minimum 5 Years Follow up

Presentation Topic
Cartilage /Cell Transplantation
Date
13.04.2022
Lecture Time
09:30 - 09:30
Room
Exhibition Foyer
Session Name
7.3 - Poster Viewing / Coffee Break / Exhibition
Session Type
Poster Session
Disclosure
No Significant Commercial Relationship

Abstract

Purpose

The aim of the present study was to assess clinical and functional evaluation of patients submitted to osteochondral autologous transplantation of the patella in a long term follow up

Methods and Materials

In this prospective study, thirty-four patients with a symptomatic full-thickness patellar chondral injury surgically treated with osteochondral autologous transplantation were evaluated at 3 occasions: preoperatively, 2 years and minimum 5 years (maximum 11years) after surgical treatment. Lysholm, Kujala, and Fulkerson scores, Tegner Scale, the Short Form-36 health survey and overall treatment failure were assessed as outcomes.

Results

Thirty-four patients were assessed with an average follow-up of 90.88 months (138-60); 19 were female. On the Lysholm scale were obtained the following scores: 57,8; 79,9; 77,9, on the preoperative, at 2 years and at the final follow-up (p<0,001; p=0,085), respectively; for Fulkerson the scores were: 54,4; 81,3; 79,7 (p<0,001; p= 0,883), respectively; for Kujala the scores were 5,5; 79,5; 78,9(p<0,001), respectively; and for the Tegner scale, evaluated only on the preoperative and the final follow up: 6,59; 5,47 (p=0,007). The failure prevalence, defined as the need of another surgical procedure, was 17.64%.

Conclusion

Autologous osteochondral transplantation is an effective technique for the treatment of patellar osteochondral lesions and the outcomes assessed in the short term did not deteriorate over a follow up of 5 to 10 years.

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Presenter Of 1 Presentation

Cartilage /Cell Transplantation

P081 - Long Term Functional and Clinical Outcomes After Patellar Osteochondral Autologous Transplantation: Minimum 5 Years Follow up

Abstract

Purpose

The aim of the present study was to assess clinical and functional evaluation of patients submitted to osteochondral autologous transplantation of the patella in a long term follow up

Methods and Materials

In this prospective study, thirty-four patients with a symptomatic full-thickness patellar chondral injury surgically treated with osteochondral autologous transplantation were evaluated at 3 occasions: preoperatively, 2 years and minimum 5 years (maximum 11years) after surgical treatment. Lysholm, Kujala, and Fulkerson scores, Tegner Scale, the Short Form-36 health survey and overall treatment failure were assessed as outcomes.

Results

Thirty-four patients were assessed with an average follow-up of 90.88 months (138-60); 19 were female. On the Lysholm scale were obtained the following scores: 57,8; 79,9; 77,9, on the preoperative, at 2 years and at the final follow-up (p<0,001; p=0,085), respectively; for Fulkerson the scores were: 54,4; 81,3; 79,7 (p<0,001; p= 0,883), respectively; for Kujala the scores were 5,5; 79,5; 78,9(p<0,001), respectively; and for the Tegner scale, evaluated only on the preoperative and the final follow up: 6,59; 5,47 (p=0,007). The failure prevalence, defined as the need of another surgical procedure, was 17.64%.

Conclusion

Autologous osteochondral transplantation is an effective technique for the treatment of patellar osteochondral lesions and the outcomes assessed in the short term did not deteriorate over a follow up of 5 to 10 years.

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