Outcome of Autologous Matrix Induced Chondrogenesis (AMIC) in cartilage knee surgery: data of the AMIC Registry
| Autor: | Piero Volpi, Sven Anders, Peter Behrens, Werner Zoch, Eric Reiss, Justus Gille, Laura de Girolamo |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Cartilage Articular Male medicine.medical_specialty Scaffold Adolescent Knee Joint Arthroplasty Subchondral Lysholm score Transplantation Autologous Collagen Type I Young Adult Chondrocytes medicine Humans Knee Orthopedics and Sports Medicine Registries Collagen Type II Tissue Scaffolds business.industry Cartilage General Medicine Anatomy Middle Aged Chondrogenesis Surgery Transplantation Autologous matrix-induced chondrogenesis Arthroscopy and Sports Medicine medicine.anatomical_structure Knee surgery Orthopedic surgery Female business Cartilage Diseases AMIC |
| Zdroj: | Archives of Orthopaedic and Trauma Surgery |
| ISSN: | 1434-3916 0936-8051 |
| DOI: | 10.1007/s00402-012-1621-5 |
| Popis: | Introduction Autologous Matrix-Induced Chondrogenesis (AMIC) is an innovative treatment for localized full-thickness cartilage defects combining the well-known microfracturing with collagen I/III scaffold. The purpose of this analysis was to evaluate the medium-term results of this enhanced microfracture technique for the treatment of chondral lesions of the knee. Methods and materials Patients treated with AMIC (Chondro-Gide®, Geistlich Pharma, Switzerland) were followed using the AMIC Registry, an internet-based tool to longitudinally track changes in function and symptoms by the Lysholm score and VAS. Results A series of 57 patients was enrolled. The average age of patients (19 females, 38 males) was 37.3 years (range 17–61 years). The mean defect size of the chondral lesions was 3.4 cm2 (range 1.0–12.0 cm2). All defects were classified as grade III (n = 20) or IV (n = 37) according to the Outerbridge classification. Defects were localized at the medial (n = 32) or lateral (n = 6) condyle, at the trochlea (n = 4) and at the patella (n = 15). The follow-up period was 2 years. The majority of patients were satisfied with the postoperative outcome, reporting a significant decrease of pain (mean VAS preop = 7.0; 1 year postop = 2.7; 2 years postop = 2.0). Significant improvement of the mean Lysholm score was observed as early as 1 year after AMIC and further increased values were noted up to 2 years postoperatively (preop. 50.1, 1 year postop. 79.9, 2 year postop. 85.2). Conclusions AMIC is an effective and safe method of treating symptomatic chondral defects of the knee. However, further studies with long-term follow-up are needed to determine if the grafted area will maintain structural and functional integrity over time. Level of evidence Prognostic study, Level IV. |
| Databáze: | OpenAIRE |
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