Management of Patellar Chondral Defects with Autologous Matrix Induced Chondrogenesis (AMIC) Compared to Microfractures: A Four Years Follow-Up Clinical Trial
نویسندگان
چکیده
Introduction: Evidence on the management of chondral defects patella arises from studies in which patellofemoral joint was treated together with femorotibial and primary revision settings. Furthermore, superiority Autologous Matrix Induced Chondrogenesis (AMIC) over microfractures (MFx) for patellar is uncertain. Therefore, present study compared isolated AMIC versus MFx focal unipolar facet joints at midterm follow-up. Methods: Patients undergoing or surgery borderline-sized were followed our institution. All surgeries performed same fashion by experienced surgeons. A parapatellar arthrotomy adopted all surgeries. The outcomes interest were: Visual Analogic Scale (VAS), Tegner Activity Scale, International Knee Documentation Committee (IKDC), Lysholm scores. Magnetic Resonance Observation Cartilage Repair Tissue (MOCART) assessed a blinded radiologist, who had not been involved clinical patients. Results: 38 patients enrolled study: 27 underwent AMIC, 11 MFx. mean follow-up 45.1 months. age baseline 34.5 years. size defect 2.6 cm2. cohort shorter length hospitalization (P = 0.008). There no difference terms previous symptoms duration, age, sex, side, size, BMI. At last follow-up, reported greater IKDC 0.01), 0.009), 0.02), along low rate failure 0.02). VAS lower group 0.002). No found MOCART score 0.09), rates 0.06), arthroplasty 0.2). Conclusion: procedure achieves score, significant reduction defects. scale demonstrated activity after procedure. Finally, evidenced failure. Similarity revision, between two procedures.
منابع مشابه
Autologous Matrix-Induced Chondrogenesis (AMIC)
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ژورنال
عنوان ژورنال: Life
سال: 2021
ISSN: ['2075-1729']
DOI: https://doi.org/10.3390/life11020141