2‐year results of middle‐aged patients with two‐compartment cartilage lesions in one knee treated with two patient specific metal implants
Abstract Purpose Focal chondral lesions of the femur are currently treated with biological repair or arthroplasty. However, some patients are not suitable for either one due to lesion size, age, or prior biological treatment attempts. While singular patient‐specific focal mini metal implants already...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40634-023-00648-2 |
| _version_ | 1797270805488336896 |
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| author | Daniel Aaron den Toom Markus Rieke Allaeldin Elbadawi Clemens Kösters Maria‐Josef‐Hospital Greven |
| author_facet | Daniel Aaron den Toom Markus Rieke Allaeldin Elbadawi Clemens Kösters Maria‐Josef‐Hospital Greven |
| author_sort | Daniel Aaron den Toom |
| collection | DOAJ |
| description | Abstract Purpose Focal chondral lesions of the femur are currently treated with biological repair or arthroplasty. However, some patients are not suitable for either one due to lesion size, age, or prior biological treatment attempts. While singular patient‐specific focal mini metal implants already showed good results, the outcomes of bicompartmental implantation of these implants have not been discussed in the literature yet. This study aims to evaluate clinical outcomes of patients who underwent bicompartmental implantation of two patient‐specific implants. Methods This prospective, non‐randomized, non‐comparative pilot study evaluates results up to two years after bicompartmental implantation of two implants (Episealer Implant, Episurf, Stockholm, Sweden). A damage report is compiled using a special MRI program and patient specific implants are manufactured, including 3D‐printed surgical instruments to provide exact placement of the implant. The patients were assessed repeatedly using the Knee Injury and Osteoarthritis Outcome Score (KOOS) and Visual Analogue Scale (VAS) for pain during the follow‐up. Results The scores were evaluated three, 12, and 24 months after surgery and showed good results. The median in both scores improved from 37.7 for the KOOS5 preoperatively to 69.1 after 24 months and from 69 for the VAS for pain preoperatively to 9 after 24 months. Conclusion Overall, for the small study group presented, the early results are promising. With noticeable improvement in KOOS and VAS for pain after two years, patient specific implants appear to become relevant in future standardized treatment of femoral chondral lesions. Especially with bicompartmental implantation, full arthroplasty can be delayed even further. Level of Evidence IV |
| first_indexed | 2024-04-25T02:10:06Z |
| format | Article |
| id | doaj.art-ded5ecdaeb41429dbad94728ab921595 |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-04-25T02:10:06Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-ded5ecdaeb41429dbad94728ab9215952024-03-07T12:46:42ZengWileyJournal of Experimental Orthopaedics2197-11532023-01-01101n/an/a10.1186/s40634-023-00648-22‐year results of middle‐aged patients with two‐compartment cartilage lesions in one knee treated with two patient specific metal implantsDaniel Aaron den Toom0Markus Rieke1Allaeldin Elbadawi2Clemens Kösters3Maria‐Josef‐Hospital Greven4Maria‐Josef Hospital GrevenGrevenGermanyMaria‐Josef Hospital GrevenGrevenGermanyMaria‐Josef Hospital GrevenGrevenGermanyMaria‐Josef Hospital GrevenGrevenGermanyMaria‐Josef Hospital GrevenGrevenGermanyAbstract Purpose Focal chondral lesions of the femur are currently treated with biological repair or arthroplasty. However, some patients are not suitable for either one due to lesion size, age, or prior biological treatment attempts. While singular patient‐specific focal mini metal implants already showed good results, the outcomes of bicompartmental implantation of these implants have not been discussed in the literature yet. This study aims to evaluate clinical outcomes of patients who underwent bicompartmental implantation of two patient‐specific implants. Methods This prospective, non‐randomized, non‐comparative pilot study evaluates results up to two years after bicompartmental implantation of two implants (Episealer Implant, Episurf, Stockholm, Sweden). A damage report is compiled using a special MRI program and patient specific implants are manufactured, including 3D‐printed surgical instruments to provide exact placement of the implant. The patients were assessed repeatedly using the Knee Injury and Osteoarthritis Outcome Score (KOOS) and Visual Analogue Scale (VAS) for pain during the follow‐up. Results The scores were evaluated three, 12, and 24 months after surgery and showed good results. The median in both scores improved from 37.7 for the KOOS5 preoperatively to 69.1 after 24 months and from 69 for the VAS for pain preoperatively to 9 after 24 months. Conclusion Overall, for the small study group presented, the early results are promising. With noticeable improvement in KOOS and VAS for pain after two years, patient specific implants appear to become relevant in future standardized treatment of femoral chondral lesions. Especially with bicompartmental implantation, full arthroplasty can be delayed even further. Level of Evidence IVhttps://doi.org/10.1186/s40634-023-00648-2Patient specific implantKnee preservationFocal cartilage lesionMiddle‐aged patientVAS for painKOOS |
| spellingShingle | Daniel Aaron den Toom Markus Rieke Allaeldin Elbadawi Clemens Kösters Maria‐Josef‐Hospital Greven 2‐year results of middle‐aged patients with two‐compartment cartilage lesions in one knee treated with two patient specific metal implants Journal of Experimental Orthopaedics Patient specific implant Knee preservation Focal cartilage lesion Middle‐aged patient VAS for pain KOOS |
| title | 2‐year results of middle‐aged patients with two‐compartment cartilage lesions in one knee treated with two patient specific metal implants |
| title_full | 2‐year results of middle‐aged patients with two‐compartment cartilage lesions in one knee treated with two patient specific metal implants |
| title_fullStr | 2‐year results of middle‐aged patients with two‐compartment cartilage lesions in one knee treated with two patient specific metal implants |
| title_full_unstemmed | 2‐year results of middle‐aged patients with two‐compartment cartilage lesions in one knee treated with two patient specific metal implants |
| title_short | 2‐year results of middle‐aged patients with two‐compartment cartilage lesions in one knee treated with two patient specific metal implants |
| title_sort | 2 year results of middle aged patients with two compartment cartilage lesions in one knee treated with two patient specific metal implants |
| topic | Patient specific implant Knee preservation Focal cartilage lesion Middle‐aged patient VAS for pain KOOS |
| url | https://doi.org/10.1186/s40634-023-00648-2 |
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