Osteochondral autologous transplantation for the treatment of full-thickness articular cartilage defects of the shoulder.
J Bone Joint Surg Br
; 86(7): 991-7, 2004 Sep.
Article
em En
| MEDLINE
| ID: mdl-15446525
ABSTRACT
We performed eight osteochondral autologous transplantations from the knee joint to the shoulder. All patients (six men, two women; mean age 43.1 years) were documented prospectively. In each patient the stage of the osteochondral lesion was Outerbridge grade IV with a mean size of the affected area of 150 mm2. All patients were assessed by using the Constant score for the shoulder and the Lysholm score for the knee. Standard radiographs, magnetic resonance imaging and second-look arthroscopy were used to assess the presence of glenohumeral osteoarthritis and the integrity of the grafts. After a mean of 32.6 months (8 to 47), the mean Constant score increased significantly. Magnetic resonance imaging revealed good osseointegration of the osteochondral plugs and congruent articular cartilage at the transplantation site in all but one patient. Second-look arthroscopy performed in two cases revealed a macroscopically good integration of the autograft with an intact articular surface. Osteochondral autologous transplantation in the shoulder appears to offer good clinical results for treating full-thickness osteochondral lesions of the glenohumeral joint. However, our study suggests that the development of osteoarthritis and the progression of pre-existing osteoarthritic changes cannot be altered by this technique.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Articulação do Ombro
/
Cartilagem Articular
/
Transplante Ósseo
/
Instabilidade Articular
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Bone Joint Surg Br
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Alemanha