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Osteochondral lesions treated with synthetic biphasic cylinders (Truffit (R))

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Objetive: To evaluate patients with osteochondral lesions operated upon with synthetic biphasic cylinders. Patients and methods: Sixty patients were operated upon over a three-year period: 42 males and 18 females, aged 41-60 years in 76.65 of the cases, with knee osteonecrosis treated with Trufit BSG (R) biphasic cylinders. The right knee was affected in 58.20 of the cases, and the internal femoral condyle in 75. A magnetic resonance imaging study was carried out in all cases before surgery, and the KOOS questionnaire was administered after 6 and 18 months, and in some cases after 36 months, over a mean follow-up of two years. A percentage study was made before and after surgery, without analyzing the personal course of the patients. Results: Thirty percent of the patients presented regular or poor results after 18 months. The symptoms improved in all subjects, though inflammation of the knee, blocking or instability persisted after the operation in 25 of the cases. Intense or very intense pain was reported by 25 of the patients. Daily activities proved normal in 60 of the subjects, while almost one-half claimed to have changed their activities or feel insecure. Conclusion: Biphasic cylinders in knee osteonecrosis improve the symptoms and function, though modest discomfort persists over the short term in a high percentage of operated patients.

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