Assessment of Fresh Homologous Osteochondral Transplantation in Knees as a Salvage Treatment: A Prospective Case Series with a Minimum Follow-up Period of 10 Months
2024

Fresh Osteochondral Transplantation in Knees: A Case Series Study

Sample size: 8 publication 10 minutes Evidence: moderate

Author Information

Author(s): Gracitelli Guilherme, Ferreira Galvão Pedro Henrique Schmidt Alves, Carrer Rayana Ueda, Rezende Fernando Cury, Kubota Marcelo Seiji, Franciozi Carlos Eduardo

Primary Institution: Escola Paulista de Medicina, Universidade Federal de São Paulo

Hypothesis

The study evaluates the clinical outcomes and patient satisfaction of fresh homologous osteochondral transplantation in the knee as a salvage method.

Conclusion

Fresh homologous osteochondral transplantation is a safe salvage method for treating large lesions and those with failed previous procedures.

Supporting Evidence

  • Six out of seven patients showed statistically significant clinical improvement according to the IKDC score.
  • All patients reported improvement in quality of life as measured by the KOOS score.
  • There were no failures, reinterventions, or infections reported in the study.

Takeaway

Doctors took cartilage from donors to help fix damaged knees, and most patients felt better after the surgery.

Methodology

The study analyzed eight knees from seven male patients who underwent fresh homologous osteochondral transplantation, with follow-up assessments using IKDC and KOOS-QoL scores.

Potential Biases

Potential bias due to the single-surgeon approach and the lack of a control group.

Limitations

The small sample size and the variability in functional improvement among patients.

Participant Demographics

All participants were male, aged 21 to 49 years, with varying body mass indices.

Statistical Information

P-Value

0.0073

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1055/s-00042410

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