J Knee Surg 2011; 24(2): 125-128
DOI: 10.1055/s-0031-1280977
ORIGINAL ARTICLE

© Thieme Medical Publishers

Articular Cartilage Surgery in Outpatients: A Pilot Study

Stefan Schüttler2 , 3 , Nenad Andjelkov1 , 2
  • 1Department of Orthopaedics, Västmanland Regional Hospital, Sweden
  • 2The Centre for Clinical Research, Västerås, Sweden
  • 3Specialistcentrum Scandinavia, Eskilstuna, Sweden
Further Information

Publication History

Publication Date:
08 June 2011 (online)

ABSTRACT

Open knee surgery for the treatment of large symptomatic cartilage defects is routinely performed in the inpatient stay, where the patients are hospitalized for several days after surgery. This has implications for both costs for the health system and medical complications such as hospital-related infections. In this article, we describe for the first time that this type of operation can be performed as outpatient surgery without any complications for the patients and with good clinical results that in our sample do not differ from those reported in larger groups of patients who underwent surgery and were hospitalized thereafter.

REFERENCES

  • 1 Bruns J, Steinhagen J. Transplantation of chondrogenic tissue in the treatment of lesions of the articular cartilage.  Orthopade. 1999;  28 (1) 52-60
  • 2 Kusano T, Marti C, Jacobi M, Jakob R. Autologous matrix-induced chondrogenesis (AMIC) on the patella plus periostal coverage on the trochlea combined with mechanical realignment: A new treatment option in symptomatic isolated femoropatellar osteoarthritis due to subluxation of the patella. 9th World Congress of the International Cartilage Repair Society, September 26–29, 2010 Sitges/Barcelona, Spain
  • 3 Gille J, Schuseil E, Wimmer J, Gellissen J, Schulz A P, Behrens P. Mid-term results of autologous matrix-induced chondrogenesis for treatment of focal cartilage defects in the knee.  Knee Surg Sports Traumatol Arthrosc. 2010;  18 (11) 1456-1464
  • 4 Benthien J P, Behrens P. Autologous matrix-induced chondrogenesis (AMIC). A one-step procedure for retropatellar articular resurfacing.  Acta Orthop Belg. 2010;  76 (2) 260-263
  • 5 Tai T W, Jou I M, Chang C W, Lai K A, Lin C J, Yang C Y. Non-drainage is better than 4-hour clamping drainage in total knee arthroplasty.  Orthopedics. 2010;  10 156-160
  • 6 Urbanek B, Duma A, Kimberger O et al.. Onset time, quality of blockade, and duration of three-in-one blocks with levobupivacaine and bupivacaine.  Anesth Analg. 2003;  97 (3) 888-892
  • 7 Niemeyer P, Steinwachs M, Erggelet C et al.. Autologous chondrocyte implantation for the treatment of retropatellar cartilage defects: clinical results referred to defect localisation.  Arch Orthop Trauma Surg. 2008;  128 (11) 1223-1231
  • 8 Knutsen G, Drogset J O, Engebretsen L et al.. A randomized trial comparing autologous chondrocyte implantation with microfracture. Findings at five years.  J Bone Joint Surg Am. 2007;  89 (10) 2105-2112

Nenad AndjelkovM.D. 

Department of Orthopaedics, Västmanland Regional Hospital

Landstinget Västmanland C-las i Västerås, 72189 Västerås, Sweden

Email: andjelkovn@hotmail.com

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