Effect of autogenous osteochondral mosaicplasty on the balance control of patients with cartilage defects of the knee: a pilot study
Abstract Background Autogenous osteochondral mosaicplasty (AOM) is a widely used optimal surgical technique for cartilage repair in young patients with focal articular cartilage defects. However, the alterations in balance control in these patients after AOM have not been sufficiently investigated....
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-03821-6 |
| _version_ | 1827952700407414784 |
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| author | Hai Tao Yingchun Zhao Fenghua Tao Wei Xiang Hui Cao Zheng Zhang |
| author_facet | Hai Tao Yingchun Zhao Fenghua Tao Wei Xiang Hui Cao Zheng Zhang |
| author_sort | Hai Tao |
| collection | DOAJ |
| description | Abstract Background Autogenous osteochondral mosaicplasty (AOM) is a widely used optimal surgical technique for cartilage repair in young patients with focal articular cartilage defects. However, the alterations in balance control in these patients after AOM have not been sufficiently investigated. This study aimed to compare different balance control performances between the patients with knee cartilage defects and healthy controls before and after AOM, as well as evaluate the influence of AOM on balance control in these patients. Methods Static posturographic tests were performed in twenty-four patients who were scheduled for AOM two weeks pre-, three months, and one year postoperatively, along with thirty matched controls, respectively. All participants underwent posturography under four standing conditions: eyes open and closed, without and with foam support to assess the balance control ability. Subsequently, patient-reported outcome measures (PROMs) were synchronously obtained and analyzed. Results Compared to the control subjects, less efficient balance control was observed in study patients at three testing phases (p < 0.05), whereas no alterations in postural control were visible in these patients within a year following AOM (p > 0.05). Significant improvements were found in all PROMs such as the International Knee Documentation Committee, the Lysholm Knee Score, and the visual analogue scale in the study patients postoperatively (p < 0.01). Conclusion The results indicated that patients with knee cartilage defects have a prominent balance control deficit compared to healthy individuals. Furthermore, AOM does not improve balance control in these patients for at least one year postoperatively, and more effective approaches for postural regulation are required for the management of cartilage defect patients. |
| first_indexed | 2024-04-09T14:01:44Z |
| format | Article |
| id | doaj.art-fb75737f53bb440e890fbc980a4f2ea4 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-09T14:01:44Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-fb75737f53bb440e890fbc980a4f2ea42023-05-07T11:18:39ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-05-011811810.1186/s13018-023-03821-6Effect of autogenous osteochondral mosaicplasty on the balance control of patients with cartilage defects of the knee: a pilot studyHai Tao0Yingchun Zhao1Fenghua Tao2Wei Xiang3Hui Cao4Zheng Zhang5Department of Orthopedics, Renmin Hospital of Wuhan UniversityDepartment of Orthopedics, Renmin Hospital of Wuhan UniversityDepartment of Orthopedics, Renmin Hospital of Wuhan UniversityDepartment of Orthopedics, Renmin Hospital of Wuhan UniversityDepartment of Orthopedics, Renmin Hospital of Wuhan UniversityDepartment of Orthopedics, Renmin Hospital of Wuhan UniversityAbstract Background Autogenous osteochondral mosaicplasty (AOM) is a widely used optimal surgical technique for cartilage repair in young patients with focal articular cartilage defects. However, the alterations in balance control in these patients after AOM have not been sufficiently investigated. This study aimed to compare different balance control performances between the patients with knee cartilage defects and healthy controls before and after AOM, as well as evaluate the influence of AOM on balance control in these patients. Methods Static posturographic tests were performed in twenty-four patients who were scheduled for AOM two weeks pre-, three months, and one year postoperatively, along with thirty matched controls, respectively. All participants underwent posturography under four standing conditions: eyes open and closed, without and with foam support to assess the balance control ability. Subsequently, patient-reported outcome measures (PROMs) were synchronously obtained and analyzed. Results Compared to the control subjects, less efficient balance control was observed in study patients at three testing phases (p < 0.05), whereas no alterations in postural control were visible in these patients within a year following AOM (p > 0.05). Significant improvements were found in all PROMs such as the International Knee Documentation Committee, the Lysholm Knee Score, and the visual analogue scale in the study patients postoperatively (p < 0.01). Conclusion The results indicated that patients with knee cartilage defects have a prominent balance control deficit compared to healthy individuals. Furthermore, AOM does not improve balance control in these patients for at least one year postoperatively, and more effective approaches for postural regulation are required for the management of cartilage defect patients.https://doi.org/10.1186/s13018-023-03821-6Balance controlCartilage defectAutogenous osteochondral mosaicplastyPosturography |
| spellingShingle | Hai Tao Yingchun Zhao Fenghua Tao Wei Xiang Hui Cao Zheng Zhang Effect of autogenous osteochondral mosaicplasty on the balance control of patients with cartilage defects of the knee: a pilot study Journal of Orthopaedic Surgery and Research Balance control Cartilage defect Autogenous osteochondral mosaicplasty Posturography |
| title | Effect of autogenous osteochondral mosaicplasty on the balance control of patients with cartilage defects of the knee: a pilot study |
| title_full | Effect of autogenous osteochondral mosaicplasty on the balance control of patients with cartilage defects of the knee: a pilot study |
| title_fullStr | Effect of autogenous osteochondral mosaicplasty on the balance control of patients with cartilage defects of the knee: a pilot study |
| title_full_unstemmed | Effect of autogenous osteochondral mosaicplasty on the balance control of patients with cartilage defects of the knee: a pilot study |
| title_short | Effect of autogenous osteochondral mosaicplasty on the balance control of patients with cartilage defects of the knee: a pilot study |
| title_sort | effect of autogenous osteochondral mosaicplasty on the balance control of patients with cartilage defects of the knee a pilot study |
| topic | Balance control Cartilage defect Autogenous osteochondral mosaicplasty Posturography |
| url | https://doi.org/10.1186/s13018-023-03821-6 |
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