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Minimum 5-year results of focal articular prosthetic resurfacing for the treatment of full-thickness articular cartilage defects in the knee

  • Knee Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

The purpose of this study was to evaluate the results of a contoured focal articular femoral condyle resurfacing prosthetic in the treatment of full-thickness cartilage and osteochondral defects at the medial femoral condyle of the knee beyond 5 years.

Methods

In a multicenter case series, preoperative and follow-up scores of the Knee Injury and Osteoarthritis Outcome Score (KOOS), SF-36 and Tegner activity scale were evaluated. Standard radiographs were performed to evaluate the progression of osteoarthritis. Patients were also asked to report their satisfaction.

Results

A total of 21 patients were included in this study. The average follow-up was 5.3 years. The average age at the time of resurfacing was 54 years. Average KOOS scores significantly (P ≤ 0.005) improved for pain (51.1 to 77.6), symptoms (57.9 to 79.5), activities of daily living (ADL) (58.8 to 82.4), sports (26.3 to 57.8) and quality of life (QOL) (34.4 to 55.0). The Tegner activity level improved significantly (P ≤ 0.02) from 2.9 to 4. The physical health value of the SF-36 increased by 15.2 to 46.9 compared to the preoperative value. The mental health value almost (51.2) remained unchanged. As many as 16/21 of the patients in this series were satisfied with their outcome and would have the operation again. Radiographic results demonstrated solid fixation, preservation of joint space and no change in the osteoarthritic stage.

Conclusions

The device appears to be an effective reconstructive treatment option for large full-thickness cartilage and osteochondral lesions of the knee in middle-aged patients.

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Acknowledgments

The authors wish to thank 2med GmbH, Hamburg, Germany, for the help in communicating with the participating study centers.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Str. 1-7, 30625, Hannover, Germany

    Christoph Becher, C. Kalbe, H. Windhagen & S. Ostermeier

  2. Center for Knee and Foot Surgery/Sports Trauma, ATOS Clinic, Bismarckstr. 9-15, 69115, Heidelberg, Germany

    H. Thermann & H. H. Paessler

  3. Department of Orthopaedic Surgery, Lubinus Clinicum, Steenbeker Weg 25, 24106, Kiel, Germany

    H. Laprell

  4. Orthopädische Gemeinschaftspraxis, Sieker Landstr. 122-124, 22927, Großhansdorf, Germany

    T. Kaiser

  5. Center of Orthopaedics and Traumatology, St. Anna-Hospital, Hospitalstraße 19, 44649, Herne, Germany

    A. Fechner

  6. Department of Orthopaedic Surgery, Krankenhaus Bethel, Herminenstr. 12-13, 31675, Bückeburg, Germany

    S. Bartsch

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  1. Christoph Becher
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Correspondence to Christoph Becher.

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Becher, C., Kalbe, C., Thermann, H. et al. Minimum 5-year results of focal articular prosthetic resurfacing for the treatment of full-thickness articular cartilage defects in the knee. Arch Orthop Trauma Surg 131, 1135–1143 (2011). https://doi.org/10.1007/s00402-011-1323-4

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  • DOI: https://doi.org/10.1007/s00402-011-1323-4

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