Sustained benefit of autologous matrix-induced chondrogenesis for hip cartilage repair in a recreational athletic population.
Absorbable Implants
Acetabulum
/ surgery
Adolescent
Adult
Arthroplasty, Replacement
Arthroplasty, Subchondral
/ methods
Arthroscopy
/ methods
Athletes
Athletic Injuries
/ surgery
Cartilage Diseases
/ surgery
Cartilage, Articular
/ surgery
Chondrogenesis
Female
Humans
Male
Retrospective Studies
Treatment Outcome
Visual Analog Scale
Young Adult
AMIC
Cartilage repair
Hip chondral defects
Regeneration
Sports, arthroscopic surgery
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
24
03
2019
accepted:
12
11
2019
pubmed:
30
11
2019
medline:
15
12
2020
entrez:
30
11
2019
Statut:
ppublish
Résumé
To investigate the clinical outcome of autologous matrix-induced chondrogenesis (AMIC) implementation for mid-sized chondral lesions of the acetabulum in young active patients, and assess their potential to resume an active lifestyle including return to recreational athletic activities. Sixty-two patients with full-thickness mid-sized acetabular chondral lesions were studied. All patients who underwent an arthroscopic AMIC procedure for reconstruction of chondral defects were assessed pre-operatively and at least 2 years post-operatively using the Hip disability and Osteoarthritis Outcome Score (HOOS), modified Harris Hip Score (mHHS) and Visual Analog Scale (VAS) for pain. A significant improvement in all three scores at the time of follow-up was found. The mean HOOS improved from 58.8 ± 7.4 pre-operatively to 90.6 ± 7.1 at follow-up (p < 0.001) while the mean mHHS improved from 53.4 ± 6.6 to 82.4 ± 8.2 (p < 0.001). There was a significant decrease from 4.9 ± 1.1 pre-operatively to 1.1 ± 0.8 post-operatively (p < 0.001) in the VAS pain evaluation, indicating that the patients were satisfied with their relief of pain. The AMIC procedure is an effective single-stage technique for the reconstruction of mid-size chondral defects of acetabulum in amateur athletes. This intervention enhanced the potential for patients to resume recreational athletic activities and the 2-year clinical outcome as evaluated by the HOOS, mHHS and VAS showed significant improvement over the pre-operative evaluations.
Identifiants
pubmed: 31781800
doi: 10.1007/s00167-019-05801-y
pii: 10.1007/s00167-019-05801-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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