Lesion size and varus malalignment are the major determinants leading to poorer clinical outcomes after combined microfracture treatment for focal cartilage lesions during anterior cruciate ligament reconstruction
| Autor: | Hanifi Ucpunar, Serda Duman, Yalkin Camurcu, Gurkan Gumussuyu, Olcay Guler, Hakan Sofu |
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| Přispěvatelé: | Sofu, Hakan, İstinye Üniversitesi, Sağlık Hizmetleri Meslek Yüksekokulu, İlk ve Acil Yardım Bölümü, Gumussuyu, Gurkan |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Anterior cruciate ligament reconstruction Fractures Stress Visual analogue scale Anterior cruciate ligament medicine.medical_treatment Lesion Arthroscopy Knee Ligaments medicine Humans Orthopedics and Sports Medicine ACL Reconstruction Microfracture Retrospective Studies Lysholm Knee Score medicine.diagnostic_test Anterior Cruciate Ligament Reconstruction business.industry Anterior Cruciate Ligament Injuries General Medicine Cartilage Lesion musculoskeletal system Surgery medicine.anatomical_structure Cartilage Treatment Outcome Orthopedic surgery medicine.symptom business Tegner Activity Scale Follow-Up Studies |
| Popis: | The purposes of this study were to evaluate the clinical effects of microfracture (MFX) performed for Outerbridge grade 3 or 4 focal cartilage lesion during the same surgery with arthroscopic anterior cruciate ligament (ACL) reconstruction and to analyze the major determinants of these potential effects on the clinical outcome. The clinical and radiographic data of 119 patients were evaluated. The mean follow-up time was 32.6 +/- 6 months. Isolated arthroscopic ACL reconstruction was performed in 70 patients (Group 1), whereas MFX for Outerbridge grade 3 or 4 chondral lesion during ACL surgery was performed in 49 patients (Group 2). Visual analogue scale (VAS) score, Lysholm knee score, and Tegner activity scale were the instruments used as outcome measures to evaluate the clinical status of the patients. Routine X-ray and MRI were also performed for all patients pre-operatively as well as at the latest follow-up visit. Lineer regression analysis was performed to determine major factors predicting the poorer clinical outcome. Clinical outcomes were similar between isolated ACL reconstruction and combined procedure. On the other hand, according to lineer regression analysis, cartilage lesion size > 2 cm(2) and > 5 degrees of varus alignment were detected as the major determinants leading to poorer outcomes in combined ACL reconstruction and MFX. Level of evidence: III - Retrospective Comparative Study. WOS:000689494600001 34448044 34448044 Q2 |
| Databáze: | OpenAIRE |
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