Functional outcomes after patellar autologous osteochondral transplantation

Functional outcomes after patellar autologous osteochondral transplantation

Author Astur, Diego Costa Autor UNIFESP Google Scholar
Bernardes, Adilio Google Scholar
Castro, Saulo Google Scholar
Arliani, Gustavo Goncalves Autor UNIFESP Google Scholar
Kaleka, Camila Cohen Google Scholar
Astur, Nelson Google Scholar
Cohen, Moises Autor UNIFESP Google Scholar
Abstract The aim of the present study was to assess clinical evaluation of patients who underwent autologous osteochondral transplantation of the patella. This prospective study assessed outcomes of 20 patients who underwent patellar autologous osteochondral transplantation at four time-points: preoperatively, 3 days, 6 months, and 2 years after surgery. The following outcomes were assessed at each time-point: pain (VAS), gait, swelling, trophic status, muscle strength, patellar mobility, and range of motion. The Tegner scale was also applied for each time-point. All parameters improved, except for patellar mobility, which did not show any change. Pain score decreased from 7.1 (SD 2.3) to 2.4 (SD 2.6) at the 2-year assessment

limping decreased from 70 % before surgery to 15 % 2 years later

swelling scores decreased from an average of 1.8 (SD 0.8) 3 days after surgery to 0.5 (SD 0.7) at the 2-year assessment

muscle strength increased from 3.9 (SD 0.8) to 4.7 (SD 0.7) points at final follow-up

and the range of motion increased from 84 (SD 16.2) to 132 (SD 10.7) degrees 2 years later. Tegner score before surgery ranged from 0 to 5, and after 2 years, it ranged from 5 to 9. Autologous osteochondral transplantation for the treatment of patellar chondral lesion was associated with significant improvement in pain, gait, swelling, and range of motion 2 years after surgery, achieving scores similar to uninjured knees. Most of them were able to return to sports activity after 6 months (recreational level) and 2 years (competitive level). IV.
Keywords Cartilage
Autologous osteochondral transplantation
Patellar chondral injury
Knee
xmlui.dri2xhtml.METS-1.0.item-coverage New York
Language English
Date 2017
Published in Knee Surgery Sports Traumatology Arthroscopy. New York, v. 25, n. 10, p. 3084-3091, 2017.
ISSN 0942-2056 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 3084-3091
Origin http://dx.doi.org/10.1007/s00167-016-4108-z
Access rights Closed access
Type Article
Web of Science ID WOS:000411176000014
URI https://repositorio.unifesp.br/handle/11600/57328

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