Mosaicoplasty for the treatment of osteochondral injuries of the knee: Evaluation of 62 patients with 8 years of average follow-up

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Published: May 11, 2018
DOI: https://doi.org/10.15417/issn.1852-7434.2018.83.2.760
Keywords:
mosaicoplasty, cartilage, knee, osteochondral injury

Main Article Content

Juan Pablo Zicaro
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0001-7268-741X
Agustin Molina Romoli
Hospital Italiano de Buenos Aires
Carlos Heraldo Yacuzzi
Hospital Italiano de Buenos Aires
Matías Costa Paz
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0002-8217-1086

Abstract

There are several surgical options described for osteochondral defects of the knee. The aim of our study was to analyze a series of patients treated with mosaicplasty with an average of 8 years follow-up.            Sixty-two patients with osteochondral defects of the knee who underwent mosaicplasties between 2001 and 2014 were included in the study with minimum follow-up of 2 years. Patients were evaluated using the Lysholm score, International Knee Documentation Committee Score (IKDC) and Kellgren-Lawrence radiographic scale.            Forty-five were men and seventeen women with an average age of 36 years old. Mosaicplasties were 45 in the medial condyle, 12 lateral condyle, 12 trochlea and 3 combined. Forty-two patients had isolated mosaicplasties and 20 patients presented associated surgical procedures (osteotomy, ACL reconstruction, meniscectomy). The mean results of the Lysholm score were 80.1 and IKDC was 66.7. There were no significant differences among the Lysholm and IKDC scores between these two groups. In 30 patients evaluated with radiography a satisfactory inclusion of the bony block was observed.            We believe that mosaicplasty is a procedure with a high degree of satisfaction with good functional results in patients with focal lesions of articular cartilage that may or may not be associated to other surgical procedures.

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How to Cite
Zicaro, J. P., Molina Romoli, A., Yacuzzi, C. H., & Costa Paz, M. (2018). Mosaicoplasty for the treatment of osteochondral injuries of the knee: Evaluation of 62 patients with 8 years of average follow-up. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 83(2), 107-112. https://doi.org/10.15417/issn.1852-7434.2018.83.2.760
Issue
Vol 83 No 2 (2018)
Section
Clinical Research
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Author Biographies

Juan Pablo Zicaro, Hospital Italiano de Buenos Aires

Ortopedia y TraumatologíaArtroscopiaMedico asociado

Agustin Molina Romoli, Hospital Italiano de Buenos Aires

Ortopiedia y TraumatologíaArtroscopiaFellow

Carlos Heraldo Yacuzzi, Hospital Italiano de Buenos Aires

Ortopedia y TraumatologíaArtroscopía de rodillaMedico asociado

Matías Costa Paz, Hospital Italiano de Buenos Aires

Ortopedia y traumatologíaArtroscopía de rodillaJefe de sector

References

1. Mundi, R, Bedy, A, Chow, L, Crouch, S, Simunovic, N, Sibilsky Enselman, E, Ayeni, O: Cartilage restoration of the knee: A systematic review and meta-analysis of level 1 studies. Am J Sports Med 2015;44:1888–95.

2. Cole, BJ, Pascual-Garrido, C, Grumet, RC: Surgical management of articular cartilage defects in the knee. J Bone Joint Surg Am 2009;91:1778–90.

3. Miller, DJ, Smith, M V, Matava, MJ, Wright, RW, Brophy, RH: Microfracture and Osteochondral Autograft Transplantation Are Cost-effective Treatments for Articular Cartilage Lesions of the Distal Femur. Am J Sports Med 2015;43:2175–81.

4. Bekkers, JEJ, Inklaar, M, Saris, DBF: Treatment selection in articular cartilage lesions of the knee: a systematic review. Am J Sports Med 2009;37:148S–55S.

5. Gudas, R, Gudaitė, A, Pocius, A, Gudienė, A, Čekanauskas, E, Monastyreckienė, E, Basevičius, A: Ten-Year Follow-up of a Prospective, Randomized Clinical Study of Mosaic Osteochondral Autologous Transplantation Versus Microfracture for the Treatment of Osteochondral Defects in the Knee Joint of Athletes. Am J Sports Med 2012;40:2499–2508.

6. Campbell, AB, Pineda, M, Harris, JD, Flanigan, DC: Return to Sport After Articular Cartilage Repair in Athletes’ Knees: A Systematic Review. Arthrosc J Arthrosc Relat Surg 2016;32:651–668.

7. Lynch, TS, Patel, RM, Benedick, A, Amin, NH, Jones, MH, Miniaci, A: Systematic review of autogenous osteochondral transplant outcomes. Arthrosc J Arthrosc Relat Surg 2015;31:746–754.

8. Shaha, JS, Cook, JB, Rowles, DJ, Bottoni, CR, Shaha, SH, Tokish, JM: Return to an Athletic Lifestyle After Osteochondral Allograft Transplantation of the Knee. Am J Sports Med 2013;41:2083–2089.

9. Minzlaff, P, Feucht, MJ, Saier, T, Schuster, T, Braun, S, Imhoff, AB, Hinterwimmer, S: Osteochondral Autologous Transfer Combined With Valgus High Tibial Osteotomy. Am J Sports Med 2013;41:2325–2332.

10. Larrain, M, Botto, G, Montenegro, H, Mauas, D, Collazo, C: Transferencias ostocondrales. Técnica quirúrgica y resultados. Artroscopia 2000;7:31–34.

11. Makino, A, Costa Paz, M, Ayerza, M: Transferencia autóloga de cartílago en lesiones osteocondrales de la rótula. Aspectos técnicos y resultados preliminares. Artroscopia 2002;9:20–24.

12. Costa Paz, M, Astoul, J, Yacuzzi, C, Carbo, L: Transferencia de Cartílago Autóloga Retrograda en Platillo Tibial. Artroscopia 2012;19:114–117.