Cartilage repair strategies in the knee: A survey of Turkish surgeons
Objectives: The purpose of this study was to analyze the trends in cartilage repair strategies among Turkish orthopedic surgeons for isolated focal (osteo)chondral lesions of the knee joint. Materials and methods: A web-based survey of 21 questions consisting of surgical indications, techniques and...
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| Format: | Article |
| Language: | English |
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AVES
2016-10-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X16301183 |
| _version_ | 1797915431493697536 |
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| author | Nurzat Elmalı Reha Tandoğan Murat Demirel Murat Bozkurt Tahsin Beyzadeoglu |
| author_facet | Nurzat Elmalı Reha Tandoğan Murat Demirel Murat Bozkurt Tahsin Beyzadeoglu |
| author_sort | Nurzat Elmalı |
| collection | DOAJ |
| description | Objectives: The purpose of this study was to analyze the trends in cartilage repair strategies among Turkish orthopedic surgeons for isolated focal (osteo)chondral lesions of the knee joint. Materials and methods: A web-based survey of 21 questions consisting of surgical indications, techniques and time to return to sports was developed to investigate the preferences of members of the TOTBID and the TUSYAD. Results: A total of 147 surgeons answered the questionnaire.70% of the respondents were TUSYAD members. 82% of respondents had at least five years experience in arthroscopy. Half of the surgeons indicated that patient age of 50 was the upper limit for cartilage repair. Irrespective of activity level, microfracture (60–67%) was the most frequently used technique for lesions smaller 2.5 cm2. In lesions larger than 4 cm2, MACI was the most commonly advocated procedure (67%). In patients with high activity levels, mosaicplasty was the first choice (69%) for lesions between 2.5 and 4 cm2 in size, followed by MACI (27%). Conclusion: Patient age, activity level, BMI and lesion size were important determinants for the choice of treatment of isolated chondral lesions in the knee. These results reflect the choices of experienced knee surgeons in the country. Although not widely performed in Turkey and has limited reimbursement by the health care system, the first choice for defects over 4 cm2 was second generation ACI. Third party payers & health reimbursement authorities should take into account that large defects require methods which are relatively expensive and need high technology. Cross-sectional survey, Level II. Keywords: Cartilage, Survey, Turkey, Cartilage repair, Knee, Osteochondral lesion, Web-based-survey, Microfracture, Mosaicplasty, Autologous chondrocyte implantation |
| first_indexed | 2024-04-10T12:41:44Z |
| format | Article |
| id | doaj.art-59b726171d02404dbd8d299eb95bd184 |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T12:41:44Z |
| publishDate | 2016-10-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-59b726171d02404dbd8d299eb95bd1842023-02-15T16:14:16ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2016-10-01505533538Cartilage repair strategies in the knee: A survey of Turkish surgeonsNurzat Elmalı0Reha Tandoğan1Murat Demirel2Murat Bozkurt3Tahsin Beyzadeoglu4Bezmialem University, School of Medicine, Orthopaedics and Traumatology Department, Turkey; Corresponding author.Cankaya Hospital, Orthopaedics and Traumatology Department, TurkeyBayındır Hospital, TurkeyYıldırım Beyazıt University, School of Medicine, Orthopaedics and Traumatology Department, TurkeyOrthopaedics & Traumatology, Beyzadeoglu Sports Medicine Clinic, Istanbul, Turkey; University School of Health Sciences, Istanbul, TurkeyObjectives: The purpose of this study was to analyze the trends in cartilage repair strategies among Turkish orthopedic surgeons for isolated focal (osteo)chondral lesions of the knee joint. Materials and methods: A web-based survey of 21 questions consisting of surgical indications, techniques and time to return to sports was developed to investigate the preferences of members of the TOTBID and the TUSYAD. Results: A total of 147 surgeons answered the questionnaire.70% of the respondents were TUSYAD members. 82% of respondents had at least five years experience in arthroscopy. Half of the surgeons indicated that patient age of 50 was the upper limit for cartilage repair. Irrespective of activity level, microfracture (60–67%) was the most frequently used technique for lesions smaller 2.5 cm2. In lesions larger than 4 cm2, MACI was the most commonly advocated procedure (67%). In patients with high activity levels, mosaicplasty was the first choice (69%) for lesions between 2.5 and 4 cm2 in size, followed by MACI (27%). Conclusion: Patient age, activity level, BMI and lesion size were important determinants for the choice of treatment of isolated chondral lesions in the knee. These results reflect the choices of experienced knee surgeons in the country. Although not widely performed in Turkey and has limited reimbursement by the health care system, the first choice for defects over 4 cm2 was second generation ACI. Third party payers & health reimbursement authorities should take into account that large defects require methods which are relatively expensive and need high technology. Cross-sectional survey, Level II. Keywords: Cartilage, Survey, Turkey, Cartilage repair, Knee, Osteochondral lesion, Web-based-survey, Microfracture, Mosaicplasty, Autologous chondrocyte implantationhttp://www.sciencedirect.com/science/article/pii/S1017995X16301183 |
| spellingShingle | Nurzat Elmalı Reha Tandoğan Murat Demirel Murat Bozkurt Tahsin Beyzadeoglu Cartilage repair strategies in the knee: A survey of Turkish surgeons Acta Orthopaedica et Traumatologica Turcica |
| title | Cartilage repair strategies in the knee: A survey of Turkish surgeons |
| title_full | Cartilage repair strategies in the knee: A survey of Turkish surgeons |
| title_fullStr | Cartilage repair strategies in the knee: A survey of Turkish surgeons |
| title_full_unstemmed | Cartilage repair strategies in the knee: A survey of Turkish surgeons |
| title_short | Cartilage repair strategies in the knee: A survey of Turkish surgeons |
| title_sort | cartilage repair strategies in the knee a survey of turkish surgeons |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X16301183 |
| work_keys_str_mv | AT nurzatelmalı cartilagerepairstrategiesinthekneeasurveyofturkishsurgeons AT rehatandogan cartilagerepairstrategiesinthekneeasurveyofturkishsurgeons AT muratdemirel cartilagerepairstrategiesinthekneeasurveyofturkishsurgeons AT muratbozkurt cartilagerepairstrategiesinthekneeasurveyofturkishsurgeons AT tahsinbeyzadeoglu cartilagerepairstrategiesinthekneeasurveyofturkishsurgeons |