Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletas
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
dARK ID: | ark:/48912/0013000018dr2 |
Texto Completo: | http://dx.doi.org/10.1590/S1413-78522010000600009 http://repositorio.unifesp.br/handle/11600/5504 |
Resumo: | OBJECTIVE: 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 pre-operatively 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 |
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Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletasOsteochondral autograft transplantation for the treatment of osteochondral defects in athletesArticular cartilageTransplantation, autologousAthletic injuriesOsteoarthritisCartilagem articularTransplante autólogoTraumatismos em atletasOsteoartriteOBJECTIVE: 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 pre-operatively 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 patientsOBJETIVO: Avaliar o resultado clínico da técnica de transplante osteocondral autólogo (TOA) para tratamento das lesões osteocondrais do joelho de atletas. MÉTODOS: Em um seguimento médio de 52 meses (30 a 82 meses), 19 pacientes foram avaliados pré e pós-operatoriamente pelos protocolos do IKDC subjetivo, Cincinnati modificado e nível de retorno aos esportes. O prognóstico conforme idade, tempo de sintomatologia, presença de lesões associadas e local da lesão também foi avaliado. RESULTADOS: O valor de IKDC foi de 64,6 + 6,8 no pré-operatório e de 81,8 + 20,1 no pós-operatório. O Cincinnati modificado foi de 5,3 + 0,8 no pré-operatório e de 7,5 + 1,7 no pós-operatório. 53% dos pacientes retornaram aos esportes no nível anterior à lesão, 29% em nível inferior e 17% abandonaram a prática esportiva regular. Os melhores resultados clínicos foram observados em pacientes menores de 35 anos, com menos de um ano de sintomas, com lesões nos côndilos femorais e sem lesões menisco ligamentares associadas. Resultados piores foram observados nas lesões da tróclea quando comparados aos dos côndilos femorais. CONCLUSÃO: Joelhos submetidos ao TOA têm uma melhora subjetiva significativa após a cirurgia. O retorno ao esporte ocorre em um grupo específico de pacientes.Universidade Federal de São Paulo (UNIFESP) Departamento de Ortopedia e TraumatologiaUNIFESP, Depto. de Ortopedia e TraumatologiaSciELOSociedade Brasileira de Ortopedia e TraumatologiaUniversidade Federal de São Paulo (UNIFESP)Hollanda, João Paris Buarque De [UNIFESP]Ferretti, Mario [UNIFESP]Quarteiro, Marcelo Luiz [UNIFESP]Amaro, Joicemar Tarouco [UNIFESP]Cohen, Moises [UNIFESP]2015-06-14T13:41:25Z2015-06-14T13:41:25Z2010-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion349-352application/pdfapplication/pdfhttp://dx.doi.org/10.1590/S1413-78522010000600009Acta Ortopédica Brasileira. Sociedade Brasileira de Ortopedia e Traumatologia, v. 18, n. 6, p. 349-352, 2010.10.1590/S1413-78522010000600009S1413-78522010000600009-en.pdfS1413-78522010000600009-pt.pdf1413-7852S1413-78522010000600009http://repositorio.unifesp.br/handle/11600/5504WOS:000285162000009ark:/48912/0013000018dr2porActa Ortopédica Brasileirainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-27T16:52:27Zoai:repositorio.unifesp.br/:11600/5504Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T21:03:36.930702Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletas Osteochondral autograft transplantation for the treatment of osteochondral defects in athletes |
title |
Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletas |
spellingShingle |
Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletas Hollanda, João Paris Buarque De [UNIFESP] Articular cartilage Transplantation, autologous Athletic injuries Osteoarthritis Cartilagem articular Transplante autólogo Traumatismos em atletas Osteoartrite |
title_short |
Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletas |
title_full |
Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletas |
title_fullStr |
Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletas |
title_full_unstemmed |
Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletas |
title_sort |
Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletas |
author |
Hollanda, João Paris Buarque De [UNIFESP] |
author_facet |
Hollanda, João Paris Buarque De [UNIFESP] Ferretti, Mario [UNIFESP] Quarteiro, Marcelo Luiz [UNIFESP] Amaro, Joicemar Tarouco [UNIFESP] Cohen, Moises [UNIFESP] |
author_role |
author |
author2 |
Ferretti, Mario [UNIFESP] Quarteiro, Marcelo Luiz [UNIFESP] Amaro, Joicemar Tarouco [UNIFESP] Cohen, Moises [UNIFESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Hollanda, João Paris Buarque De [UNIFESP] Ferretti, Mario [UNIFESP] Quarteiro, Marcelo Luiz [UNIFESP] Amaro, Joicemar Tarouco [UNIFESP] Cohen, Moises [UNIFESP] |
dc.subject.por.fl_str_mv |
Articular cartilage Transplantation, autologous Athletic injuries Osteoarthritis Cartilagem articular Transplante autólogo Traumatismos em atletas Osteoartrite |
topic |
Articular cartilage Transplantation, autologous Athletic injuries Osteoarthritis Cartilagem articular Transplante autólogo Traumatismos em atletas Osteoartrite |
description |
OBJECTIVE: 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 pre-operatively 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 |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-01-01 2015-06-14T13:41:25Z 2015-06-14T13:41:25Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S1413-78522010000600009 Acta Ortopédica Brasileira. Sociedade Brasileira de Ortopedia e Traumatologia, v. 18, n. 6, p. 349-352, 2010. 10.1590/S1413-78522010000600009 S1413-78522010000600009-en.pdf S1413-78522010000600009-pt.pdf 1413-7852 S1413-78522010000600009 http://repositorio.unifesp.br/handle/11600/5504 WOS:000285162000009 |
dc.identifier.dark.fl_str_mv |
ark:/48912/0013000018dr2 |
url |
http://dx.doi.org/10.1590/S1413-78522010000600009 http://repositorio.unifesp.br/handle/11600/5504 |
identifier_str_mv |
Acta Ortopédica Brasileira. Sociedade Brasileira de Ortopedia e Traumatologia, v. 18, n. 6, p. 349-352, 2010. 10.1590/S1413-78522010000600009 S1413-78522010000600009-en.pdf S1413-78522010000600009-pt.pdf 1413-7852 S1413-78522010000600009 WOS:000285162000009 ark:/48912/0013000018dr2 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Acta Ortopédica Brasileira |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
349-352 application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
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UNIFESP |
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UNIFESP |
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Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1818602594320252928 |