Osteochondral Autograft and Mosaicplasty in the Football (Soccer) Athlete

Abstract

Objective:To evaluate the clinical outcomes of mosaicplasty in the treatment of focal chondral and osteochondral defects of joints among elite football players.Methods:Case series; Level of evidence, 4. The results of mosaicplasty were prospectively evaluated with 1-year intervals with patient-reported outcome measures, radiographs, and sports participation.Results:Sixty-one patients who received mosaicplasty in the knee joint were followed from 2 to 17 years (average, 9.6 years). The International Cartilage Repair Society (ICRS) score showed 89% good and excellent results. Sixty-seven percent of all players returned to the same level of sport, with 89% of the elite players and 62% of the competitive players. The average time to return to competitions was 4.5 months (range, 3.5-6.1 months). Players who had better clinical outcomes were significantly younger and had smaller lesions. The results of the medial and lateral condyles were significantly better than those in the patella or trochlea. Concomitant adjuvant procedures improved clinical outcomes. Despite a higher rate of preoperative osteoarthritic changes, clinical outcomes demonstrated a success rate similar to that of less athletic patients.Conclusion:Autologous osteochondral mosaicplasty in competitive football players is a good alternative procedure to repair cartilage damage.

Microfracture technique versus osteochondral autologous transplantation mosaicplasty in patients with articular chondral lesions of the knee: a prospective randomized trial with long-term follow-up

“…Gudas et al included competitive or well-trained athletes, whereas the present study did not exclude non-athletes. Several studies indicate that both OAT mosaicplasty and MF provide favourable outcome in small lesions [ 4 , 8 , 25 , 31 , 34 ]. The fact that relatively small-sized lesions <2 cm 2 were included and that lesions >4 cm 2 were excluded in the Gudas study might in part explain the apparently better results at follow-up in that study compared to the present study.…”

Clinical outcome after mosaicplasty of knee articular cartilage defects of patellofemoral joint versus tibiofemoral joint

“…However, a firm conclusion is yet to be established as results are contractionary, possibly due to great differences in study design. 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 …”

Effect of platelet-rich plasma and microfracture reparative technique combined in chondral lesions treatment

“…5 In such a setting characterized by the continuous development of novel techniques and materials, microfracture performed using the Stedman procedure still represents the most adopted method to repair chondral defects. [6][7][8][9] The biological rationale of this reparative technique is based on direct stimulation of the subchondral bone mesenchymal cells having a high chondrogenic differentiation potential.…”