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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 27, Issue 10, pp 3291–3296 | Cite as

Encouraging mid-term outcomes for arthroscopic autologous osteochondral transplant (OAT) in capitellum osteochondritis dissecans (OCD)

  • Luigi Adriano Pederzini
  • Matteo BartoliEmail author
  • Andrea Cheli
  • Fabio Nicoletta
  • Gabriele Severini
ELBOW
  • 84 Downloads

Abstract

Purpose

The primary outcomes are the evaluation and quantification of pain relief and improvement in range of motion after OAT in OCD. The secondary outcomes are: resuming of sport activities, evaluation of the ADL recovery rate and subjective evaluation of the quality of life improvement.

Methods

Nine patients, affected by an unstable and non-acute OCD lesion of the capitulum humeri, have been treated by the same surgeon. The patient mean age was 22.4 (16–45 years). All subjects were treated with the same surgical technique (arthroscopic OAT from the same side knee, a single cylinder of 6.5–9 mm in diameter) and underwent the same rehabilitation. The mean follow-up was 48 months (30–52 months). The authors documented the clinical assessment of each patient and carried out a questionnaire which included the VAS scale, MEPS Score and Quick DASH score. Patients were asked for MRI and radiographs pre- and post-operatively at follow-up.

Results

The mean range of motion improvement was 17.9° in extension (range 13°–27°) and 10.6° in flexion (range 0°–20°) The VAS mean improvement was 7.1 (range 6–8) and the mean post-op value 0.6 (range 0–3). The MEPS score mean post-operative value was 98.3 (range 85–100). The Quick-DASH mean post-operative value was 2.5 (range 0–9.1) with a mean improvement of 41.4 points (range 36.4–47.7 points). All patients resumed sports in 6 months post-operatively.

Conclusions

The autologous transplant of an osteochondral plug is a safe and promising procedure. Despite being more demanding, the arthroscopic approach is a valuable tool if the surgeon aims to reduce the invasiveness of the procedure, with all the consequent advantages.

Level of evidence IV

Retrospective case series, therapeutic study.

Keywords

Elbow Osteochondritis Cartilage Arthroscopy Sports Osteochondral transplant 

Notes

Funding

No funding was received for this study.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest for this study.

Ethical approval

The protocol and informed consent process were approved by the local ethics committee (Ethical Committee Area Vasta Emilia Nord 14/2018/OSS/ESTMO—artic.elb).

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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2019

Authors and Affiliations

  1. 1.Orthopeadics and Traumatology UnitNuovo Ospedale Civile di SassuoloSassuoloItaly
  2. 2.Università Cattolica del Sacro Cuore-Fondazione Policlinico GemelliRomeItaly

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