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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Autologous osteochondral transfer for the treatment of full-thickness defects in patients with or without ACL reconstruction. Results with 7 years follow-up
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Autologous osteochondral transfer for the treatment of full-thickness defects in patients with or without ACL reconstruction. Results with 7 years follow-up

机译：自体骨软骨移植治疗有或没有ACL重建的患者的全层缺损。 7年随访结果

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Objectives: The aim of this study was to evaluate the results of autologous osteochondral transfer for the treatment of cartilage defects in 2 groups of patients: The first with an isolated osteochondral injury and the other with associated anterior cruciate ligament (ACL) injury treated in one stage surgery Materials and Methods: We retrospectively evaluated 25 patients with symptomatic focal full-thickness chondral lesions in the femoral condyles during the years 2003-2009, with a minimum of 5 years of follow up. The patients were divided into 2 groups: Group A: 10 patients with associated ACL injury, and Group B: 15 patients with an isolated osteochondral lesion. Clinical outcome was analyzed by Lysholm and IKDC scores. Results: There was an improvement of all scores in both groups. There were no significant differences between the groups in the IKDC (82/84) and Lysholm (87/86) scores. The mean age at the time of assessment for group A was 46 years and 44 for the group B. The mid term follow-up was 96 months for group A and 103 months for group B. Two complications were recorded in group A: 1 infection and 1 arthrofibrosis. 2 complicationsoccurred in group B: 2 arthrofibrosis. Conclusion: The results of the mosaicplasty for the focal full-thickness chondral lesions in the femoral condyles are favorable after 5 years of follow up. There was no difference between the associated or not ACL injury.
机译：目的：本研究的目的是评估自体骨软骨移植治疗两组患者软骨缺损的结果：第一组患有单纯性软骨软骨损伤，另一组伴有前交叉韧带（ACL）损伤阶段手术材料与方法：我们回顾性评估了2003-2009年间25例有症状的局灶性全层软骨cho骨病变的患者，至少进行了5年的随访。将患者分为2组：A组：10例伴有ACL损伤的患者，B组：15例患有孤立的骨软骨病的患者。临床结果通过Lysholm和IKDC评分进行分析。结果：两组的所有分数都有改善。 IKDC（82/84）和Lysholm（87/86）得分在两组之间没有显着差异。 A组在评估时的平均年龄为46岁，B组为44岁。A组的中期随访时间为96个月，B组为103个月。A组记录了两种并发症：1次感染和1关节炎。 B组发生2例并发症：2例关节纤维化。结论：随访5年后，股骨the局灶性全层软骨病变的镶嵌术效果良好。没有相关的ACL损伤之间没有差异。

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