Repair of retropatellar cartilage defects in the knee with microfracture and a cell-free polymer-based implant.

Abstract:

INTRODUCTION:To analyze magnetic resonance imaging (MRI) at 3T and the clinical outcome in a short-term pilot study after treatment of retropatellar cartilage defects with microfracturing and subsequent covering with the cell-free chondrotissue(®) polyglycolic acid-hyaluronan implant. METHODS:Five consecutive patients after microfracturing and defect coverage with the chondrotissue(®) implant immersed with autologous serum were included. After a mean follow-up of 21 months (range 11-31 months), defect fill and repair tissue quality was assessed by 3-T MRI followed by applying established MRI scoring systems. The patients' situation was assessed using the Knee injury and Osteoarthritis Outcome Score (KOOS) and a patients' satisfaction questionnaire. RESULTS:Magnetic resonance imaging showed good to excellent defect fill with complete integration. The mean MOCART score was 61 (range 50-75) points. The mean Henderson score was 7 (range 6-9) points. All patients showed subchondral bone alterations. The KOOS showed good values in all sub-categories in 4 out of 5 patients and a mean overall score of 73 (range 40-90) points. Two patients rated the outcome as excellent, two as good and one as fair. All patients would have the procedure again and recommend it. CONCLUSIONS:In this small case series, the coverage of symptomatic retropatellar cartilage defects with the chondrotissue(®) implant after microfracturing was safe and feasible with improvement of the patients' situation at short-term follow-up. LEVEL OF EVIDENCE:IV, case series.

authors

Becher C,Ettinger M,Ezechieli M,Kaps C,Ewig M,Smith T

doi

10.1007/s00402-015-2235-5

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

1003-10

issue

7

eissn

0936-8051

issn

1434-3916

journal_volume

135

pub_type

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