Trapezoidal osteochondral autologous plug singleblock graft for treating chondral lesions of the knee: clinical and functional medium-term results in an observational study
OBJECTIVE: To evaluate the clinical and functional results of autologous trapezoidal plug single-block grafts fixed with absorbable chondral darts in patients with osteochondral knee lesions of varying sizes. METHODS: Twenty-five patients underwent surgery from February 2000 to June 2008. Seventy-tw...
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| Format: | Article |
| Language: | English |
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Elsevier España
2012-10-01
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| Series: | Clinics |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322012001000011 |
| _version_ | 1811329638374309888 |
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| author | Cezar Teruyuki Kawano Márcio Moura Rocha dos Santos Marcus Guilherme de Oliveira Tadeu Colens Ourivio |
| author_facet | Cezar Teruyuki Kawano Márcio Moura Rocha dos Santos Marcus Guilherme de Oliveira Tadeu Colens Ourivio |
| author_sort | Cezar Teruyuki Kawano |
| collection | DOAJ |
| description | OBJECTIVE: To evaluate the clinical and functional results of autologous trapezoidal plug single-block grafts fixed with absorbable chondral darts in patients with osteochondral knee lesions of varying sizes. METHODS: Twenty-five patients underwent surgery from February 2000 to June 2008. Seventy-two percent of the patients were male, and the mean age was 29 years. RESULTS: The right side (56%) and the medial condyle (92%) were most affected. The lesions had an average area of 5.28 cm², and the mean follow-up was 59 months. All of the variables other than instability showed significant improvements (p<0.05), as shown by the increase in the mean Lysholm score from 55 points preoperatively to 92 points (p<0.001) postoperatively. There was no loosening or collapse of the osteochondral graft. All of the patients had patellofemoral crepitation and pain for an average of six months. CONCLUSION: Autologous trapezoidal plug single-block grafts are a therapeutic option for defects of varying sizes and provide good clinical results and low morbidity at the donor site in the medium term. |
| first_indexed | 2024-04-13T15:47:18Z |
| format | Article |
| id | doaj.art-3d873e45d5ff43659bbf1141b8c1c1f3 |
| institution | Directory Open Access Journal |
| issn | 1807-5932 1980-5322 |
| language | English |
| last_indexed | 2024-04-13T15:47:18Z |
| publishDate | 2012-10-01 |
| publisher | Elsevier España |
| record_format | Article |
| series | Clinics |
| spelling | doaj.art-3d873e45d5ff43659bbf1141b8c1c1f32022-12-22T02:40:56ZengElsevier EspañaClinics1807-59321980-53222012-10-0167101191119510.6061/clinics/2012(10)11Trapezoidal osteochondral autologous plug singleblock graft for treating chondral lesions of the knee: clinical and functional medium-term results in an observational studyCezar Teruyuki KawanoMárcio Moura Rocha dos SantosMarcus Guilherme de OliveiraTadeu Colens OurivioOBJECTIVE: To evaluate the clinical and functional results of autologous trapezoidal plug single-block grafts fixed with absorbable chondral darts in patients with osteochondral knee lesions of varying sizes. METHODS: Twenty-five patients underwent surgery from February 2000 to June 2008. Seventy-two percent of the patients were male, and the mean age was 29 years. RESULTS: The right side (56%) and the medial condyle (92%) were most affected. The lesions had an average area of 5.28 cm², and the mean follow-up was 59 months. All of the variables other than instability showed significant improvements (p<0.05), as shown by the increase in the mean Lysholm score from 55 points preoperatively to 92 points (p<0.001) postoperatively. There was no loosening or collapse of the osteochondral graft. All of the patients had patellofemoral crepitation and pain for an average of six months. CONCLUSION: Autologous trapezoidal plug single-block grafts are a therapeutic option for defects of varying sizes and provide good clinical results and low morbidity at the donor site in the medium term.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322012001000011Cartilage DiseasesBone TransplantationKneeSubchondral ArthroplastyLesions |
| spellingShingle | Cezar Teruyuki Kawano Márcio Moura Rocha dos Santos Marcus Guilherme de Oliveira Tadeu Colens Ourivio Trapezoidal osteochondral autologous plug singleblock graft for treating chondral lesions of the knee: clinical and functional medium-term results in an observational study Clinics Cartilage Diseases Bone Transplantation Knee Subchondral Arthroplasty Lesions |
| title | Trapezoidal osteochondral autologous plug singleblock graft for treating chondral lesions of the knee: clinical and functional medium-term results in an observational study |
| title_full | Trapezoidal osteochondral autologous plug singleblock graft for treating chondral lesions of the knee: clinical and functional medium-term results in an observational study |
| title_fullStr | Trapezoidal osteochondral autologous plug singleblock graft for treating chondral lesions of the knee: clinical and functional medium-term results in an observational study |
| title_full_unstemmed | Trapezoidal osteochondral autologous plug singleblock graft for treating chondral lesions of the knee: clinical and functional medium-term results in an observational study |
| title_short | Trapezoidal osteochondral autologous plug singleblock graft for treating chondral lesions of the knee: clinical and functional medium-term results in an observational study |
| title_sort | trapezoidal osteochondral autologous plug singleblock graft for treating chondral lesions of the knee clinical and functional medium term results in an observational study |
| topic | Cartilage Diseases Bone Transplantation Knee Subchondral Arthroplasty Lesions |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322012001000011 |
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