Transplante osteocondral autólogo no tratamento de lesões osteocondrais em atletas

Detalhes bibliográficos
Autor(a) principal: Hollanda, João Paris Buarque De [UNIFESP]
Data de Publicação: 2010
Outros Autores: Ferretti, Mario [UNIFESP], Quarteiro, Marcelo Luiz [UNIFESP], Amaro, Joicemar Tarouco [UNIFESP], Cohen, Moises [UNIFESP]
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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spelling 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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institution UNIFESP
reponame_str 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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