Autologous Matrix Induced Chondrogenesis (AMIC) Compared to Microfractures for Chondral Defects of the Talar Shoulder: A Five-Year Follow-Up Prospective Cohort Study

نویسندگان

چکیده

Introduction: Many procedures are available to manage cartilage defects of the talus, including microfracturing (MFx) and Autologous Matrix Induced Chondrogenesis (AMIC). Whether AMIC or MFx equivalent for borderline sized talar shoulder is unclear. Thus, present study compared efficacy primary isolated versus focal unipolar chondral at midterm follow-up. Methods: Patients undergoing were recruited prospectively. For those patients who underwent AMIC, a type I/III collagen resorbable membrane was used. The outcomes interest were: Visual Analogic Scale (VAS), Tegner Activity Scale, American Orthopedic Foot Ankle Score (AOFAS). Magnetic Resonance Observation Cartilage Repair Tissue (MOCART) assessed by blinded radiologist, had not been involved in clinical management patients. Data concerning complication rate additional also collected. Results: mean follow-up 43.5 months. age 70 operation 32.0 years, with defect size 2.7 cm2. length hospitalization shorter cohort (p = 0.01). No difference found between two cohorts terms prior surgery symptoms follow-up, BMI, sex side, size. At months, AOFAS 0.03), VAS 0.003), 0.01) scores greater group. MOCART score 0.08). group evidenced lower rates reoperation 0.008) failure 0.003). Conclusion: provides better results MFx.

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ژورنال

عنوان ژورنال: Life

سال: 2021

ISSN: ['2075-1729']

DOI: https://doi.org/10.3390/life11030244