Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 5, Issue 4, pp 262–267

Arthroscopic autogenous osteochondral mosaicplasty for the treatment of femoral condylar articular defects A preliminary report

A preliminary report
  • L. Hangody
  • G. Kish
  • Z. Kárpáti
  • I. Szerb
  • I. Udvarhelyi
Knee

DOI: 10.1007/s001670050061

Cite this article as:
Hangody, L., Kish, G., Kárpáti, Z. et al. Knee Surgery (1997) 5: 262. doi:10.1007/s001670050061

Abstract

An arthroscopic technique for the use of mosaicplasty osteochondral grafting in the treatment of femoral condylar articular defects is described. During the procedure, small cylindrical grafts are harvested from the nonweightbearing periphery of the patellofemoral joint and implanted in mosaiclike fashion into the focal cartilage defect of the weightbearing condylar surface. This report describes the arthroscopic technique using newly designed instruments and the early results of 44 patients treated by this method. Good to excellent results have been obtained based on follow-up ranging from 1 to 5 years. The modified HSS scores are compared with a control group consisting of patients treated by abrasion arthroplasty. Evaluation was done clinically and, in some cases, by ultrasound, magnetic resonance imaging, 3-dimensional computed tomography. The results of 10 control arthroscopies and the histological evaluations of 6 biopsies demonstrated the hyalinelike cartilage surface at the recipient area and the fibrocartilage formation at the surface of the donor holes.

Key words Limited cartilage defectMosaicplastyArthroscopicosteochondral graftingHyalinecartilageChondral replacement

Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • L. Hangody
    • 1
  • G. Kish
    • 2
  • Z. Kárpáti
    • 1
  • I. Szerb
    • 1
  • I. Udvarhelyi
    • 1
  1. 1.Department of Orthopaedics and Trauma, Budapest Uzsoki Hospital, Mexikói Street 62–64, H-1145 Budapest, Hungary Tel./Fax: (36) 1–251 44 55 or (36) 1–1763 136HU
  2. 2.St. George Medical, 109 Hillside Drive, Portsmouth, NH 03801, USA Tel.: (603) 431–8129US