Strategies for patient profiling in articular cartilage repair of the knee: A prospective cohort of patients treated by one experienced cartilage surgeon

Tommy S. de Windt (Corresponding Author), Sebastian Concaro, Anders Lindahl, Daniel B.F. Saris, Mats Brittberg

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    29 Citations (Scopus)
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    Abstract

    Purpose: The purpose of this study was to report on the clinical outcome of a large heterogenic cartilage repair population treated with the profiling strategies of one experienced cartilage surgeon to provide evidence based tools for treatment selection in a clinical environment. Methods: A total of 216 patients were identified in this prospective single-surgeon study. For the primary and secondary treatment of smaller defects, microfracture (MF) was used. Hyalograft C was used for first and second line larger defects, while carbon-fiber rod and pad implantations were used as a salvage procedure. Results: Three years after the initial procedure, the clinical improvement was excellent for MF and Hyalograft C (P < 0.001) and good for carbon-fiber procedures (P < 0.05). Hyalograft C patients with prior anterior cruciate ligament reconstruction had less clinical improvement (P < 0.05), while MF patients with prior cartilage repair were more likely to fail (Odds Ratio 20.5, P < 0.05). Conclusion: This is the first study that provides an assessment of the treatment strategies used by an experienced cartilage surgeon. A treatment algorithm for cartilage repair in a heterogenic population was created that based on the findings of this study could be implemented in a clinical environment. Level of evidence: Prospective clinical case series, Level IV

    Original languageEnglish
    Pages (from-to)2225-2232
    Number of pages8
    JournalKnee surgery, sports traumatology, arthroscopy
    Volume20
    Issue number11
    DOIs
    Publication statusPublished - 1 Nov 2012

    Keywords

    • UT-Hybrid-D
    • Experienced cartilage surgeon
    • Heterogenic population
    • Patient profiling
    • Cartilage repair

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