Return to Sport After Arthroscopic Autologous Matrix-Induced Chondrogenesis for Patients With Osteochondral Lesion of the Talus
| Autor: | Jorge Hugo Villafañe, Cristian Indino, Pedro Berjano, Riccardo D’Ambrosi, Federico Giuseppe Usuelli, Federico Maria Liuni |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Cartilage Articular Male medicine.medical_specialty Population physical activity Physical Therapy Sports Therapy and Rehabilitation Transplantation Autologous Collagen Type I Return to sport Talus Lesion 03 medical and health sciences Young Adult 0302 clinical medicine osteochondral lesion of the talus ankle medicine Settore MED/33 - Malattie Apparato Locomotore Humans arthroscopy cartilage autologous matrix-induced chondrogenesis return to sport Orthopedics and Sports Medicine In patient education Retrospective Studies 030222 orthopedics education.field_of_study business.industry 030229 sport sciences Surgery Extracellular Matrix Autologous matrix-induced chondrogenesis medicine.anatomical_structure Collagen Type III Cross-Sectional Studies Athletic Injuries Cancellous Bone Observational study Female Ankle medicine.symptom business Chondrogenesis Foot (unit) Follow-Up Studies |
| Popis: | OBJECTIVE To determine the rate of return of patients to sport after arthroscopic autologous matrix-induced chondrogenesis (AT-AMIC) for outcomes 2 years after surgery. DESIGN Retrospective observational cross-sectional study. SETTING C.A.S.C.O.-Foot and Ankle Unit, Istituto Ortopedico Galeazzi, Milan, Italy. PATIENTS AND INTERVENTION Twenty-six consecutive patients, 65.4% male (mean ± SD age: 33.7 ± 11.0 years), that underwent AT-AMIC procedure between 2012 and 2015 were selected retrospectively. From this population, only sporting patients at amateur's level were included. Arthroscopic autologous matrix-induced chondrogenesis was proposed in patients with pain and persistent disability. MAIN OUTCOME MEASURES All patients were assessed with the American Orthopaedic Foot and Ankle Score (AOFAS), physical component score of the 12-Item Short Form Health Survey (SF-12), Halasi ankle activity score, and University of California, Los Angeles (UCLA) activity scale preoperatively and at 24 months postoperatively. RESULTS Overall, 80.8% of the patient group returned to the same preinjury sport. The mean follow-up was 42.6 ± 10.9 months (range from 25 to 62 months). Significant differences were observed with reference to AOFAS, SF-12, Halasi, and UCLA scores at the last follow-up in patients who had undergone AT-AMIC (all, P < 0.001). CONCLUSIONS A high percentage of patients return to their preinjury sport after AT-AMIC surgery. |
| Databáze: | OpenAIRE |
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