Treatment of osteochondritis dissecans of the knee with a biomimetic scaffold. A prospective multicenter study

Giacomo Placella, Andrea Speziali, Giuliano Giorgio Cerulli, Giulia Carimati, Stefano Pasqualotto, Massimo Berruto

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

13 Citazioni (Scopus)

Abstract

Purpose the aim of the present study was to evaluate the clinical outcome of the treatment of osteochondritis dissecans (OCD) of the knee with a type-I collagen-hydroxyapatite nanostructural biomimetic osteochondral scaffold. Methods twenty-three patients affected by symptomatic knee OCD of the femoral condyles, grade 3 or 4 of the International Cartilage Repair Society (ICRS) scale, underwent biomimetic scaffold implantation. The site of the defect was the medial femoral condyle in 14 patients, whereas in 9 patients the lateral femoral condyle was involved. The average size of the defects was 3.5±1.43 cm2. All patients were clinically evaluated using the ICRS subjective score, the IKDC objective score, the EQ-VAS and the Tegner Activity Score. Minimum follow-up was two years. MRI was performed at 12 and 24 months after surgery and then every 12 months thereafter. Results the ICRS subjective score improved from the baseline value of 50.93±20.6 to 76.44±18.03 at the 12 months (p<0.0005) and 82.23± 17.36 at the two-year follow-up (p<0.0005). The IKDC objective score confirmed the results. The EQ-VAS showed a significant improvement from 3.15±1.09 to 8.15±1.04 (p<0.0005) at two years of follow-up. The Tegner Activity Score improvement was statistically significant (p<0.0005). Conclusions biomimetic scaffold implantation was a good procedure for treating grade 3 and 4 OCD, in which other classic techniques are burdened by different limitations. This open one-step surgery gave promising stable results at short-term follow-up. Level of evidence Level IV, therapeutic case series.
Lingua originaleEnglish
pagine (da-a)102-108
Numero di pagine7
RivistaJoints
Volume2014
DOI
Stato di pubblicazionePubblicato - 2014

Keywords

  • cartilage
  • knee
  • ostechondritis dissecans
  • osteochondral lesions
  • scaffold

Fingerprint Entra nei temi di ricerca di 'Treatment of osteochondritis dissecans of the knee with a biomimetic scaffold. A prospective multicenter study'. Insieme formano una fingerprint unica.

Cita questo