Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletas

Abstract

All the authors declare that there is no potential conflict of interest referring to this article. Original articleActa Ortop Bras. 2010;18(6):349-52 ABSTRACTObjective: To evaluate clinical outcomes of the osteochondral autologous transplantation technique for treatment of osteochondral defects of the knee in athletes. Methods: For an average follow-up period of 52 months (30 to 82 months), 19 patients were evaluated pre and post-operatively by using subjective IKDC scores, modified Cincinnati Scores, and rate of return to sports activities. Prognosis according to age, duration of symptoms and location of the lesion was also evaluated. Results: Subjective IKDC scores were 64.6 + 6.8 pre-operatively and 81.8 + 20.1 post-operatively. Modified Cincinnati score was 5.3 + 0.8 preoperatively and 7.5 + 1.7 post-operatively. Fifty-three percent of the patients returned to pre-operative level of sports activity, 29% returned to a lower level, and 17% did not return to sports. Better results were observed in patients younger than 35 years, with less than one year of symptoms, in patients with femoral condyle defects and without concomitant meniscus or ACL tear. Throclear lesions had inferior results to condylar defects. Conclusion: Osteochondral autologous transplantation promoted a subjective improvement of the knee in athletes. Return to sports activity occurred in a specific group of patients

Functional outcomes after patellar autologous osteochondral transplantation

“…AOT is often performed to treat lesions at the weight‐bearing femoral condyles and has shown satisfactory long‐term outcomes in up to 93 % of cases, allowing the return to previous activities in up to 53 % of athletes [3, 7, 12, 13, 18, 20, 43].…”

Artigos publicados em periódicos brasileiros de interesse para a medicina do exercício e do esporte: uma revisão

“…The clinical result of the autologous osteochondral transplant (AOT) for the treatment of knee osteochondral injuries of athletes in a medium segment of 52 months (30 to 82 months) in 19 patients who were pre and post-surgery assessed by the subjective IKDC, modified Cincinnati and level of return to sports protocols, besides prognosis according to age, time of symptomatology, presence of associated injuries and site of injury, demonstrated that knees submitted to the AOT present significant subjective improvement after surgery. Return to sport occurs in a specific group of patients (31) . Through the use of biomechanical tests, reconstruction of anterior cruciate ligament with double anatomic feixe using patellar graft to the reconstruction with conventional single bundle using the same amount of patellar graft in a paired experimental study in cadaver, did not demonstrate differences between the two techniques in any of the determinations done by the ANOVA test.…”