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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2015

01.08.2015 | Knee

The use of a prosthetic inlay resurfacing as a salvage procedure for a failed cartilage repair

verfasst von: Aad Alfons Maria Dhollander, Karl Fredrik Almqvist, Kris Moens, Pieter-Jan Vandekerckhove, René Verdonk, Peter Verdonk, Jan Victor

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 8/2015

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Abstract

Purpose

This study was designed to describe the clinical and radiographical outcome of the HemiCAP® resurfacing system as a salvage treatment for a failed index cartilage procedure.

Methods

Fourteen patients were treated consecutively and clinically prospectively followed for a mean period of 26.1 ± 12.8 months. All patients were previously treated for their cartilage lesion. Radiographical data were analysed based on the Kellgren and Lawrence system.

Results

The patients involved in this study demonstrated a gradual clinical improvement in time. However, radiographically significant osteoarthritic changes were observed during the follow-up period. The position of the HemiCAP® resurfacing system was adequate in all cases, and no signs of loosening were observed during the follow-up period.

Conclusions

The HemiCAP® resurfacing system is feasible as a salvage treatment for a failed index cartilage procedure and resulted in a gradual clinical improvement. However, the favourable clinical outcome was not confirmed by the radiographical findings.

Level of evidence

IV.
Literatur
1.
Zurück zum Zitat Archibeck MG, White RE (2003) What’s new in adult reconstructive knee surgery. J Bone Joint Surg Am 85:1404–1411PubMed Archibeck MG, White RE (2003) What’s new in adult reconstructive knee surgery. J Bone Joint Surg Am 85:1404–1411PubMed
2.
Zurück zum Zitat Becher C, Huber R, Thermann H, Paessler HH, von Skrbensy G (2008) Effects of a contoured articular prosthetic device on tib-iofemoral peak contact pressure: a biomechanical study. Knee Surg Sports Traumatol Arthrosc 16:56–63PubMedCentralPubMedCrossRef Becher C, Huber R, Thermann H, Paessler HH, von Skrbensy G (2008) Effects of a contoured articular prosthetic device on tib-iofemoral peak contact pressure: a biomechanical study. Knee Surg Sports Traumatol Arthrosc 16:56–63PubMedCentralPubMedCrossRef
3.
Zurück zum Zitat Becher C, Huber R, Thermann H, Ezechieli L, Ostermeier S, Wellmann M, von Skrbensky G (2011) Effects of a surface matching articular resurfacing device on tibiofemoral contact pressure: results from continuous dynamic flexion–extension cycles. Arch Orthop Trauma Surg 131:413–419PubMedCrossRef Becher C, Huber R, Thermann H, Ezechieli L, Ostermeier S, Wellmann M, von Skrbensky G (2011) Effects of a surface matching articular resurfacing device on tibiofemoral contact pressure: results from continuous dynamic flexion–extension cycles. Arch Orthop Trauma Surg 131:413–419PubMedCrossRef
4.
Zurück zum Zitat Becher Kalbe C, Thermann H et al (2011) Minimum 5-year results of focal articular prosthetic resurfacing for the treatment of full thickness articular cartilage defects in the knee. Arch Orthop Trauma Surg 131:1135–1143PubMedCrossRef Becher Kalbe C, Thermann H et al (2011) Minimum 5-year results of focal articular prosthetic resurfacing for the treatment of full thickness articular cartilage defects in the knee. Arch Orthop Trauma Surg 131:1135–1143PubMedCrossRef
5.
Zurück zum Zitat Bekkers JE, de Windt TS, Raijmakers NJ, Dhert WJ, Saris DB (2009) Validation of the knee injury and osteoarthritis outcome score (KOOS) for the treatment of focal cartilage lesions. Osteoarthritis Cartilage 17:1434–1439PubMedCrossRef Bekkers JE, de Windt TS, Raijmakers NJ, Dhert WJ, Saris DB (2009) Validation of the knee injury and osteoarthritis outcome score (KOOS) for the treatment of focal cartilage lesions. Osteoarthritis Cartilage 17:1434–1439PubMedCrossRef
6.
Zurück zum Zitat Bijur PE, Silver W, Gallagher EJ (2001) Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med 8:1153–1157PubMedCrossRef Bijur PE, Silver W, Gallagher EJ (2001) Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med 8:1153–1157PubMedCrossRef
7.
Zurück zum Zitat Bollars P, Bosquet M, Vandekerckhove B, Hardeman F, Bellemans J (2012) Prosthetic inlay resurfacing for the treatment of focal, full thickness cartilage defects of the femoral condyle: a bridge between biologics and conventional arthroplasty. Knee Surg Sports Traumatol Arthrosc 20(9):1753–1759PubMedCrossRef Bollars P, Bosquet M, Vandekerckhove B, Hardeman F, Bellemans J (2012) Prosthetic inlay resurfacing for the treatment of focal, full thickness cartilage defects of the femoral condyle: a bridge between biologics and conventional arthroplasty. Knee Surg Sports Traumatol Arthrosc 20(9):1753–1759PubMedCrossRef
8.
9.
Zurück zum Zitat Chahal J, Thiel GV, Hussey K, Cole BJ (2013) Managing the patient with failed cartilage restoration. Sports Med Arthrosc 21(2):62–68PubMedCrossRef Chahal J, Thiel GV, Hussey K, Cole BJ (2013) Managing the patient with failed cartilage restoration. Sports Med Arthrosc 21(2):62–68PubMedCrossRef
10.
Zurück zum Zitat Custers RJH, Saris DBF, Dhert WJA et al (2009) Articular cartilage degeneration following the treatment of focal cartilage defects with ceramic metal implants and compared with microfracture. J Bone Joint Surg Am 91:900–910PubMedCrossRef Custers RJH, Saris DBF, Dhert WJA et al (2009) Articular cartilage degeneration following the treatment of focal cartilage defects with ceramic metal implants and compared with microfracture. J Bone Joint Surg Am 91:900–910PubMedCrossRef
11.
Zurück zum Zitat Dhollander AAM, Verdonk PCM, Lambrecht S, Verdonk R, Elewaut D, Verbruggen G, Almqvist KF (2012) Short-term outcome of the second generation characterized chondrocyte implantation for the treatment of cartilage lesions in the Knee. Knee Surg Sports Traumatol Arthrosc 20:1118–1127PubMedCrossRef Dhollander AAM, Verdonk PCM, Lambrecht S, Verdonk R, Elewaut D, Verbruggen G, Almqvist KF (2012) Short-term outcome of the second generation characterized chondrocyte implantation for the treatment of cartilage lesions in the Knee. Knee Surg Sports Traumatol Arthrosc 20:1118–1127PubMedCrossRef
12.
Zurück zum Zitat Gallagher EJ, Bijur PE, Latimer C, Silver W (2002) Reliability and validity of a visual analog scale for acute abdominal pain in the ED. Am J Emerg Med 20:287–290PubMedCrossRef Gallagher EJ, Bijur PE, Latimer C, Silver W (2002) Reliability and validity of a visual analog scale for acute abdominal pain in the ED. Am J Emerg Med 20:287–290PubMedCrossRef
14.
Zurück zum Zitat Kirker-Head C, Van Sickle D, Ek SW, McCool JC (2006) Safety of and biological and functional response to a novel metallic implant for the management of focal full thickness cartilage defects: preliminary assessment in an animal model out to 1 year. J Orthop Res 24(25):1095–1108PubMedCrossRef Kirker-Head C, Van Sickle D, Ek SW, McCool JC (2006) Safety of and biological and functional response to a novel metallic implant for the management of focal full thickness cartilage defects: preliminary assessment in an animal model out to 1 year. J Orthop Res 24(25):1095–1108PubMedCrossRef
15.
Zurück zum Zitat Kon E, Delcogliano M, Filardo G, Busacca M, Di Martino A, Marcacci M (2011) Novel nano-composite multilayered biomaterial for osteochondral regeneration: a pilot clinical trial. Am J Sports Med 39:1180–1190PubMedCrossRef Kon E, Delcogliano M, Filardo G, Busacca M, Di Martino A, Marcacci M (2011) Novel nano-composite multilayered biomaterial for osteochondral regeneration: a pilot clinical trial. Am J Sports Med 39:1180–1190PubMedCrossRef
16.
Zurück zum Zitat Roos EM, Roos HP, Ekdahl C, Lohmander LS (1998) Knee injury and osteoarthritis outcome score (KOOS): validation of a Swedish version. Scand J Med Sci Sports 8:439–448PubMedCrossRef Roos EM, Roos HP, Ekdahl C, Lohmander LS (1998) Knee injury and osteoarthritis outcome score (KOOS): validation of a Swedish version. Scand J Med Sci Sports 8:439–448PubMedCrossRef
17.
Zurück zum Zitat Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998) Knee injury and osteoarthritis outcome score (KOOS): development of a self-administered outcome measure. J Orthop Sports Phys Ther 28:88–96PubMedCrossRef Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998) Knee injury and osteoarthritis outcome score (KOOS): development of a self-administered outcome measure. J Orthop Sports Phys Ther 28:88–96PubMedCrossRef
18.
Zurück zum Zitat Shapiro F, Koide S, Glimcher MJ (1993) Cell origin and differentiation in the repair of full-thickness defects of articular cartilage. J Bone Joint Surg Am 75:532–553PubMed Shapiro F, Koide S, Glimcher MJ (1993) Cell origin and differentiation in the repair of full-thickness defects of articular cartilage. J Bone Joint Surg Am 75:532–553PubMed
19.
Zurück zum Zitat Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49PubMed Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49PubMed
Metadaten
Titel
The use of a prosthetic inlay resurfacing as a salvage procedure for a failed cartilage repair
verfasst von
Aad Alfons Maria Dhollander
Karl Fredrik Almqvist
Kris Moens
Pieter-Jan Vandekerckhove
René Verdonk
Peter Verdonk
Jan Victor
Publikationsdatum
01.08.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 8/2015
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-2999-0

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