M. Arcuri (Sorocaba, BR)
Instituto CohenPresenter Of 1 Presentation
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.
Presenter Of 1 Presentation
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.