Open Access
American Research Journal of Orthopedics and Traumatology
ISSN (Online): 2572-2964
DOI: 10.46568/arjot
Treatment of Knee Osteochondral Defects with Mosaicoplasty Technique
1Lecturer of Orthopedic Surgery, Zagazig University, Egypt
2Assistant professor, Orthopedic Surgery, Zagazig University, Egypt
2Assistant professor, Orthopedic Surgery, Zagazig University, Egypt
Mohsen Fawzy Omar, MD, Mohammed A Gheith, MD. “Treatment of Knee Osteochondral Defects with Mosaicoplasty Technique”. American Research Journal of Orthopedics and Traumatology; V2, I1; pp: 1-9
Abstract
Background: Due to the avascular nature of the articular cartilage and the limited stem cell population the lesions of articular cartilage have limited ability to repair. Another factor is the constant and repeated loads on the articular cartilage of the knee that create unsound mechanical environment for healing.
Objective: To evaluate the results of osteochondral autograft technique in treatment of chondral and osteochondral defects.
Material and Methods: From May 2013 to November 2016 sixteen patients with chondral or osteochondral defects of one of the femoral condyles were treated using the osteochondral grafts technique. Open technique was used in (10 patients) and arthroscopic technique in (6 cases). For patient evaluation we used two scores: the chondral defect scoring system, and Lysholm score.
Results: according to the Chondral defect scoring system, significant improvement of the subjective score of the pain, swelling, locking and full weight bearing. The mean total (CGSS - objective & subjective) was improved from 47.6 (SD±15.3) preoperatively to a postoperative mean of 83 (SD±11.2). The Lysholm score shown significant improvement for the Limp, locking sensation, using cane, giving way, swelling, climbing stairs and also for squatting.
Conclusion: Mosaicoplasty as one-step procedure, has low morbidity, independent of laboratory use. Based upon the results of this study, osteochondral autograft is a good solution for treatment of full thickness cartilage damage.
Objective: To evaluate the results of osteochondral autograft technique in treatment of chondral and osteochondral defects.
Material and Methods: From May 2013 to November 2016 sixteen patients with chondral or osteochondral defects of one of the femoral condyles were treated using the osteochondral grafts technique. Open technique was used in (10 patients) and arthroscopic technique in (6 cases). For patient evaluation we used two scores: the chondral defect scoring system, and Lysholm score.
Results: according to the Chondral defect scoring system, significant improvement of the subjective score of the pain, swelling, locking and full weight bearing. The mean total (CGSS - objective & subjective) was improved from 47.6 (SD±15.3) preoperatively to a postoperative mean of 83 (SD±11.2). The Lysholm score shown significant improvement for the Limp, locking sensation, using cane, giving way, swelling, climbing stairs and also for squatting.
Conclusion: Mosaicoplasty as one-step procedure, has low morbidity, independent of laboratory use. Based upon the results of this study, osteochondral autograft is a good solution for treatment of full thickness cartilage damage.
Keywords
Mosaicplasty, Autograft, Osteochondral defect, Knee.
