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- Title
Encouraging mid-term outcomes for arthroscopic autologous osteochondral transplant (OAT) in capitellum osteochondritis dissecans (OCD).
- Authors
Pederzini, Luigi Adriano; Bartoli, Matteo; Cheli, Andrea; Nicoletta, Fabio; Severini, Gabriele
- Abstract
<bold>Purpose: </bold>The primary outcomes are the evaluation and quantification of pain relief and improvement in range of motion after OAT in OCD. The secondary outcomes are: resuming of sport activities, evaluation of the ADL recovery rate and subjective evaluation of the quality of life improvement.<bold>Methods: </bold>Nine patients, affected by an unstable and non-acute OCD lesion of the capitulum humeri, have been treated by the same surgeon. The patient mean age was 22.4 (16-45 years). All subjects were treated with the same surgical technique (arthroscopic OAT from the same side knee, a single cylinder of 6.5-9 mm in diameter) and underwent the same rehabilitation. The mean follow-up was 48 months (30-52 months). The authors documented the clinical assessment of each patient and carried out a questionnaire which included the VAS scale, MEPS Score and Quick DASH score. Patients were asked for MRI and radiographs pre- and post-operatively at follow-up.<bold>Results: </bold>The mean range of motion improvement was 17.9° in extension (range 13°-27°) and 10.6° in flexion (range 0°-20°) The VAS mean improvement was 7.1 (range 6-8) and the mean post-op value 0.6 (range 0-3). The MEPS score mean post-operative value was 98.3 (range 85-100). The Quick-DASH mean post-operative value was 2.5 (range 0-9.1) with a mean improvement of 41.4 points (range 36.4-47.7 points). All patients resumed sports in 6 months post-operatively.<bold>Conclusions: </bold>The autologous transplant of an osteochondral plug is a safe and promising procedure. Despite being more demanding, the arthroscopic approach is a valuable tool if the surgeon aims to reduce the invasiveness of the procedure, with all the consequent advantages.<bold>Level Of Evidence Iv: </bold>Retrospective case series, therapeutic study.
- Subjects
AUTOTRANSPLANTATION; OSTEOCHONDRITIS; ARTHROSCOPY; RADIOGRAPHS; RANGE of motion of joints; ELBOW surgery; CARTILAGE transplantation; AUTOGRAFTS; BONE grafting; ELBOW; HUMERUS; MAGNETIC resonance imaging; OSTEOCHONDROSIS; QUALITY of life; QUESTIONNAIRES; RADIOGRAPHY; ACTIVITIES of daily living; TREATMENT effectiveness; RETROSPECTIVE studies
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2019, Vol 27, Issue 10, p3291
- ISSN
0942-2056
- Publication type
journal article
- DOI
10.1007/s00167-019-05568-2