Erdil Mehmet, Bilsel Kerem, Taser Omer Faruk, Sen Cengiz, Asik Mehmet
Bezmialem Vakif University, Medicine Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey.
Knee. 2013 Jan;20(1):2-8. doi: 10.1016/j.knee.2012.06.005. Epub 2012 Jul 15.
The purpose of this study was to determine the effectiveness of the osteochondral autologous graft transfer system in the treatment of chondral and osteochondral lesions of the knee.
Sixty five knees of sixty four patients who underwent autologous osteochondral graft transfer were evaluated with clinical scores and imaging techniques.
The average follow up was 82.2 (51-145) months. The patients were evaluated according to Tegner activity scale, Lysholm scale and IKDC subjective knee evaluation form. According to all these scales, all patients showed increasing results in various rates in the last follow up. Accordingly, mean increases of 59.2±15.9 points, 3.6±1.4 points, and 42.6±11.5 points were achieved in Lysholm knee scores, Tegner activity scale scores, and IKDC subjective knee evaluation form, respectively (p≤.0001). Moreover, we found no significant correlation between functional results and age, functional results and localization of osteochondral defect, functional results and additional knee pathologies.
In our study we achieved significant increases in all the scales in the last follow up. Furthermore, we found no significant correlation between functional results and age, defect localization and additional knee pathologies.
本研究的目的是确定自体骨软骨移植系统治疗膝关节软骨和骨软骨损伤的有效性。
对64例接受自体骨软骨移植的患者的65个膝关节进行临床评分和影像学评估。
平均随访时间为82.2（51 - 145）个月。根据Tegner活动量表、Lysholm量表和IKDC膝关节主观评价表对患者进行评估。根据所有这些量表，所有患者在最后一次随访中均有不同程度的改善。因此，Lysholm膝关节评分、Tegner活动量表评分和IKDC膝关节主观评价表分别平均提高了59.2±15.9分、3.6±1.4分和42.6±11.5分（p≤0.0001）。此外，我们发现功能结果与年龄、功能结果与骨软骨缺损的位置、功能结果与膝关节其他病变之间无显著相关性。
在我们的研究中，所有量表在最后一次随访中均有显著提高。此外，我们发现功能结果与年龄、缺损位置和膝关节其他病变之间无显著相关性。
