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Focal metallic inlay resurfacing prosthesis in articular cartilage defects: short-term results of 118 patients and 2 different implants

  • Şahin ÇepniEmail author
  • Enejd Veizi
  • Mesut Tahta
  • Enes Uluyardımcı
  • Mohammed J. T. Abughalwa
  • Çetin Işık
Arthroscopy and Sports Medicine
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Abstract

Background

The goal of this study was to share our experience with two different inlay metallic implants in the treatment of knee cartilage defects and to analyze their effects on functional scores.

Methods

This retrospective study included 118 patients operated on for focal full-thickness knee cartilage lesions, who were treated with a focal metallic inlay resurfacing prosthesis. A cobalt–chromium (Co–Cr) resurfacing implant was applied to 73 patients with a knee chondral lesion, and a biosynthetic implant was applied to 45. All patients were evaluated preoperatively and postoperatively using the KOOS, VAS, and Tegner activity scores.

Results

The group with the Co–Cr-resurfacing implant showed a significantly greater improvement (p < 0.001) in the Tegner and VAS scores at the 2-year follow-up examination. The KOOS scores were similar in both groups. Median patient age was similar in both groups. All patients had a follow-up of at least 2 years. The preoperative and postoperative scores were compared and significant improvements (p < 0.001) were observed. The biosynthetic implant had a higher revision rate. In the univariate analysis, age and type of implant were significantly associated with revision surgery. In the multivariate Cox-regression analysis model, the type of implant was significantly associated with revision surgery.

Conclusion

All the patients operated with the above-mentioned implants showed significant improvements in pain and activity scores. Despite the overall good clinical results, 17% of patients with a biosynthetic implant and > 6% of patients with Co–Cr-resurfacing implant required revision surgery. Age and implant type were the main risk factors associated with revision.

Keywords

Cartilage Inlay-resurfacing prosthesis Focal osteochondral defects Osteoarthritis 
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Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interests and no funding was received from any source.

Ethical standards

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Orthopedics and TraumatologyAnkara City HospitalAnkaraTurkey
  2. 2.Department of Orthopedics and Traumatologyİzmir Atatürk Research and Training HospitalIzmirTurkey
  3. 3.Department of Orthopedics and TraumatologyDeveli HospitalKayseriTurkey
  4. 4.Department of Orthopedics and TraumatologyEmsey HospitalIstanbulTurkey

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