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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e966-e975
DOI: 10.1055/s-0044-1792116
Artigo Original
Joelho

Assessment of Fresh Homologous Osteochondral Transplantation in Knees as a Salvage Treatment: A Prospective Case Series with a Minimum Follow-up Period of 10 Months

Article in several languages: português | English
Guilherme Gracitelli 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
2   Grupo de Joelho, Clínica Ortopédica Ortocity/Grupo H+ Brasil, São Paulo, SP, Brasil
3   Departamento de Ortopedia, Traumatologia e Medicina do Esporte, Instituto Wilson Mello, Campinas, SP, Brasil
,
Pedro Henrique Schmidt Alves Ferreira Galvão 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Rayana Ueda Carrer 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Fernando Cury Rezende 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Marcelo Seiji Kubota 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Carlos Eduardo Franciozi 
1   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
› Author Affiliations Financial Support The authors declare that they did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study.
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Abstract

Objective The present study evaluated the clinical outcomes and satisfaction of patients undergoing fresh homologous osteochondral transplantation in the knee as a salvage method.

Methods We analyzed eight knees from seven male patients who underwent fresh homologous osteochondral transplantation by a single surgeon. Their follow-up period ranged from 10 months to 5 years and 5 months. Clinical outcomes included the scores on the International Knee Documentation Committee (IKDC) and on the quality-of-life item of the Knee and Osteoarthritis Outcome Score (KOOS-QoL).

Result The sample consisted of complex cases since all operated knees had undergone previous surgeries. Functional improvement was variable, with six out of the seven operated patients showing statistically significant clinical improvement according to the IKDC score, and a single patient reported being moderately satisfied with the procedure. The quality-of-life item from the KOOS score improved in all patients. There was no failure, need for reintervention, or infection.

Conclusion Fresh homologous osteochondral transplantation is a safe salvage method in our setting to treat large lesions and those with failed previous procedures. Despite the small sample of this case series, most clinical outcomes were positive and had no complications.

Keywords

allografts - cartilage, articular - knee/surgery - osteochondritis - transplantation homologous

Work carried out at the Ortocity and Department of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.




Publication History

Received: 28 August 2023

Accepted: 30 August 2024

Article published online:
21 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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