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

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 ...

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Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Vol. 23; no. 8; pp. 2208 - 2212
Main Authors: Dhollander, Aad Alfons Maria, Almqvist, Karl Fredrik, Moens, Kris, Vandekerckhove, Pieter-Jan, Verdonk, René, Verdonk, Peter, Victor, Jan
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.08.2015
John Wiley & Sons, Inc
Subjects:
Activities of Daily Living
Adult
Arthritis
Cartilage
Cartilage, Articular - injuries
Cartilage, Articular - surgery
Female
Femur - surgery
Follow-Up Studies
Humans
Knee
Knee Prosthesis
Male
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Osteoarthritis
Patients
Prospective Studies
Prostheses
Quality of Life
Salvage Therapy
Surgery
Visual Analog Scale
Belgium
Knee
Failed cartilage repair
Focal resurfacing
ISSN:0942-2056, 1433-7347, 1433-7347
Online Access:Get full text
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Summary: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.
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ISSN:0942-2056
1433-7347
1433-7347
DOI:10.1007/s00167-014-2999-0