Document Detail


Triad of cartilage restoration for unicompartmental arthritis treatment in young patients: meniscus allograft transplantation, cartilage repair and osteotomy.
MedLine Citation:
PMID:  19476178     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arthritis treatment in young patients remains a challenge. Joint replacement surgery offers excellent pain relief but is controversial with this age group because of long-term wear and loosening. Recently, biological reconstructive techniques have become available to improve traditional treatment methods such as osteotomies. We present our experience with a technique for combined meniscal transplantation, chondral repair, and osteotomy in 7 patients presenting with a constellation of meniscal deficiency, focal arthritis, and malalignment. Patients underwent concurrent or staged meniscal transplantation, cartilage repair, and osteotomy. Evaluation included the International Knee Documentation Committee (IKDC) score, Knee injury and Osteoarthritis Outcome Score (KOOS), and Short Form-12 and Lysholm scales. At average follow-up of 24 months, patients experienced significant improvements in the IKDC, Lysholm, and KOOS functional scores. Six of 7 patients were able to return to unrestricted activities; 1 patient experienced mild pain with high-impact activities. Combined treatment with meniscal transplantation, cartilage repair, and osteotomy demonstrated promising clinical results of unicompartmental arthritis treatment in young patients.
Authors:
Andreas H Gomoll; Richard W Kang; Andrea L Chen; Brian J Cole
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of knee surgery     Volume:  22     ISSN:  1538-8506     ISO Abbreviation:  J Knee Surg     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-05-29     Completed Date:  2009-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137599     Medline TA:  J Knee Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  137-41     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arthroplasty, Replacement, Knee / methods
Arthroscopy / methods
Cartilage, Articular / injuries,  surgery
Female
Follow-Up Studies
Humans
Male
Menisci, Tibial / pathology,  surgery*,  transplantation
Osteoarthritis, Knee / physiopathology,  radiography,  surgery*
Osteotomy / methods*
Patient Satisfaction
Quality of Life
Range of Motion, Articular
Retrospective Studies
Transplantation, Homologous*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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