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Trattamento delle lesioni osteocondrali focali con Trufit Plug® di Smith&Nephew: esperienza preliminare

Treatment of focal osteochondral lesions with Trufit Plug® by Smith&Nephew: preliminary experience

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Archivio di Ortopedia e Reumatologia

Abstract

The purpose of our job was to evaluate integration and resumption of physical activities of patients treated with osteochondral transplantation using a synthetic scaffold (Trufit Plug® by Smith&Nephew). In our study we have retrospectively evaluated 30 patients (mean age 31, 8 years) that received a transplant with Trufit Plug® for osteochondral injury between 2006 and 2008. The patients had cartilage injuries with a surface between 0, 5 and 2 cm_; there weren’t side effects of the treatment. The patients were evaluated with generic cards for the state of health (SF-36) and with pathology-specific questionnaires (ICRS, Lysholm score, VAS). The mean value of the Lysholm Score improved from 46, 16 (range 44–68) pre-operatively to 87, 3 (range 79–100) after a mean follow-up of 15 months; using the ICRS, we have observed very good results in 30% (9 patients), good results in 50% (15 patients) and acceptable results in 16, 66% (5 patient); only in a single case we have observed a bad result. The SF-36 has shown encouraging results regarding functional resumption and perceived state of health. Our arthroscopic second look has allowed us to perform some histological evaluations that have shown extraneous body reactions and a slow process of integration. In conclusion, we believe that the Trufit Plug® can be suitable in cases of focal injury of limited size (within 10 mm) with involvement of the underlying bone, but a prudent rehabilitative protocol must be observed.

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Authors and Affiliations

  1. Sport Clinique,Mater Dei, Roma, Italy

    E. Adriani, A. Alfieri, B. Di Paola & G. Miceli

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  1. E. Adriani
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  2. A. Alfieri
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  3. B. Di Paola
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  4. G. Miceli
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Adriani, E., Alfieri, A., Di Paola, B. et al. Trattamento delle lesioni osteocondrali focali con Trufit Plug® di Smith&Nephew: esperienza preliminare. Arch Ortop Reumatol 120, 32–34 (2009). https://doi.org/10.1007/s10261-009-0050-7

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  • DOI: https://doi.org/10.1007/s10261-009-0050-7

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