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Clin J Sport Med ; 29(6): 470-475, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31688177

RESUMEN

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.


Asunto(s)
Artroscopía/métodos , Traumatismos en Atletas/cirugía , Cartílago Articular/lesiones , Cartílago Articular/cirugía , Condrogénesis , Astrágalo/lesiones , Astrágalo/cirugía , Adulto , Traumatismos en Atletas/fisiopatología , Hueso Esponjoso/trasplante , Cartílago Articular/fisiología , Colágeno Tipo I/administración & dosificación , Colágeno Tipo III/administración & dosificación , Estudios Transversales , Matriz Extracelular , Femenino , Estudios de Seguimiento , Humanos , Masculino , Estudios Retrospectivos , Volver al Deporte , Astrágalo/fisiología , Trasplante Autólogo , Adulto Joven
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