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Can young and active patients participate in sports after osteochondral autologous transfer combined with valgus high tibial osteotomy?

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To evaluate sporting activity following osteochondral autologous transfer (OAT) combined with valgus high tibial osteotomy (HTO) in young and active patients with focal osteochondral defects of the medial femoral condyle and concomitant varus malalignment.

Methods

Thirty patients with focal osteochondral defects of the medial femoral condyle and varus malalignment >2° were enrolled. All patients were active in sports on a regular base prior to surgery (lifetime), but were unable to perform sports at the time of surgery. Sporting activity 1 year preoperatively and at final follow-up was compared using a previously published sports questionnaire, which assesses sports level, number of sports disciplines, sports frequency, sports duration and the participation in 32 common sports disciplines. Additionally, the Tegner activity scale and the Activity Rating Scale were used.

Results

After a mean follow-up of 6.9 years (2.5–9.8; SD 2.4), 76.7 % of patients were participating in sports on a regular basis (Fig. 2). Compared to 1 year preoperatively, there was no difference (n.s.) with regard to sports, the number of sports disciplines, sports frequency and sports duration (Fig. 4). The median Tegner activity scale measured preoperatively 5.0 (2.0–7.0) and post-operatively 5.0 (4.0–7.0) points (Fig. 3), and the ARS changed from 5.7 to 5.3 points (n.s.). The different types of sports disciplines were comparable between 1 year preoperatively and at follow-up.

Conclusion

A high return to sports rate and an activity level comparable to the state at 1 year preoperatively can be expected in young and active patients after combined OAT and valgus HTO. This seems to be relevant in clinical practice when planning, indicating and performing these complex procedures.

Level of evidence

IV.

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Authors and Affiliations

  1. Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technische Universität Muenchen, Ismaningerstr. 22, 81675, Munich, Germany

    Philipp Minzlaff, Matthias J. Feucht, Tim Saier, Matthias Cotic, Johannes E. Plath, Andreas B. Imhoff & Stefan Hinterwimmer

  2. Department for Sport Traumatology, Knee- and Shoulder Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt, Germany

    Philipp Minzlaff

  3. Berufsgenossenschaftliche Unfallklinik Murnau, Murnau, Germany

    Tim Saier

  4. Sportsclinic Germany, Munich, Germany

    Stefan Hinterwimmer

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  1. Philipp Minzlaff
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  2. Matthias J. Feucht
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  3. Tim Saier
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  4. Matthias Cotic
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  6. Andreas B. Imhoff
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Correspondence to Andreas B. Imhoff.

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Minzlaff, P., Feucht, M.J., Saier, T. et al. Can young and active patients participate in sports after osteochondral autologous transfer combined with valgus high tibial osteotomy?. Knee Surg Sports Traumatol Arthrosc 24, 1594–1600 (2016). https://doi.org/10.1007/s00167-014-3447-x

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