The use of a prosthetic inlay resurfacing as a salvage procedure for a failed cartilage repair.

Autor: Dhollander AAM; Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium. dhollander.aad@gmail.com.; Department of Physiotherapy and Orthopaedic Surgery, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium. dhollander.aad@gmail.com., Almqvist KF; Department of Physiotherapy and Orthopaedic Surgery, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium., Moens K; Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium.; Department of Physiotherapy and Orthopaedic Surgery, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium., Vandekerckhove PJ; Department of Orthopaedic Surgery, St Jan Bruges, Sint-Jan Ruddershove 10, 8000, Bruges, Belgium., Verdonk R; Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium.; Department of Physiotherapy and Orthopaedic Surgery, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium., Verdonk P; Department of Physiotherapy and Orthopaedic Surgery, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium.; Antwerp Orthopedic Center, Monica Hospitals, Harmoniestraat 68, 2018, Antwerp, Belgium., Victor J; Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium.; Department of Physiotherapy and Orthopaedic Surgery, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium.
Jazyk: angličtina
Zdroj: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2015 Aug; Vol. 23 (8), pp. 2208-2212. Date of Electronic Publication: 2014 Apr 22.
DOI: 10.1007/s00167-014-2999-0
Abstrakt: Purpose: This study was designed to describe the clinical and radiographical outcome of the HemiCAP(®) resurfacing system as a salvage treatment for a failed index cartilage procedure.
Methods: Fourteen patients were treated consecutively and clinically prospectively followed for a mean period of 26.1 ± 12.8 months. All patients were previously treated for their cartilage lesion. Radiographical data were analysed based on the Kellgren and Lawrence system.
Results: The patients involved in this study demonstrated a gradual clinical improvement in time. However, radiographically significant osteoarthritic changes were observed during the follow-up period. The position of the HemiCAP(®) resurfacing system was adequate in all cases, and no signs of loosening were observed during the follow-up period.
Conclusions: The HemiCAP(®) resurfacing system is feasible as a salvage treatment for a failed index cartilage procedure and resulted in a gradual clinical improvement. However, the favourable clinical outcome was not confirmed by the radiographical findings.
Level of Evidence: IV.
Databáze: MEDLINE
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