Can young and active patients participate in sports after osteochondral autologous transfer combined with valgus high tibial osteotomy?

被引:24
作者
Minzlaff, Philipp [1 ,2 ]
Feucht, Matthias J. [1 ]
Saier, Tim [1 ,3 ]
Cotic, Matthias [1 ]
Plath, Johannes E. [1 ]
Imhoff, Andreas B. [1 ]
Hinterwimmer, Stefan [1 ,4 ]
机构
[1] Tech Univ Munich, Klinikum Rechts Isar, Dept Orthopaed Sports Med, Ismaningerstr 22, D-81675 Munich, Germany
[2] Berufsgenossenschaftl Unfallklin Frankfurt Main, Dept Sport Traumatol Knee & Shoulder Surg, Frankfurt, Germany
[3] Berufsgenossenschaftl Unfallklin Murnau, Murnau, Germany
[4] Sportsclin Germany, Munich, Germany
关键词
High tibial osteotomy; Osteochondral transfer; Osteochondral defect; Cartilage; Varus malalignment; Return to sports; Sporting activity; ARTICULAR-CARTILAGE DEFECTS; FOLLOW-UP; CHONDROCYTE IMPLANTATION; KNEE-JOINT; SURVIVORSHIP ANALYSIS; MEDIAL COMPARTMENT; VARUS KNEE; TRANSPLANTATION; OSTEOARTHRITIS; MICROFRACTURE;
D O I
10.1007/s00167-014-3447-x
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
To evaluate sporting activity following osteochondral autologous transfer (OAT) combined with valgus high tibial osteotomy (HTO) in young and active patients with focal osteochondral defects of the medial femoral condyle and concomitant varus malalignment. Thirty patients with focal osteochondral defects of the medial femoral condyle and varus malalignment > 2A degrees were enrolled. All patients were active in sports on a regular base prior to surgery (lifetime), but were unable to perform sports at the time of surgery. Sporting activity 1 year preoperatively and at final follow-up was compared using a previously published sports questionnaire, which assesses sports level, number of sports disciplines, sports frequency, sports duration and the participation in 32 common sports disciplines. Additionally, the Tegner activity scale and the Activity Rating Scale were used. After a mean follow-up of 6.9 years (2.5-9.8; SD 2.4), 76.7 % of patients were participating in sports on a regular basis (Fig. 2). Compared to 1 year preoperatively, there was no difference (n.s.) with regard to sports, the number of sports disciplines, sports frequency and sports duration (Fig. 4). The median Tegner activity scale measured preoperatively 5.0 (2.0-7.0) and post-operatively 5.0 (4.0-7.0) points (Fig. 3), and the ARS changed from 5.7 to 5.3 points (n.s.). The different types of sports disciplines were comparable between 1 year preoperatively and at follow-up. A high return to sports rate and an activity level comparable to the state at 1 year preoperatively can be expected in young and active patients after combined OAT and valgus HTO. This seems to be relevant in clinical practice when planning, indicating and performing these complex procedures. IV.
引用
收藏
页码:1594 / 1600
页数:7
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