Aad Alfons Maria Dhollander1,2, Karl Fredrik Almqvist3, Kris Moens4,3, Pieter-Jan Vandekerckhove5, René Verdonk4,3, Peter Verdonk3,6, Jan Victor4,3. 1. Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium. dhollander.aad@gmail.com. 2. Department of Physiotherapy and Orthopaedic Surgery, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium. dhollander.aad@gmail.com. 3. Department of Physiotherapy and Orthopaedic Surgery, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium. 4. Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium. 5. Department of Orthopaedic Surgery, St Jan Bruges, Sint-Jan Ruddershove 10, 8000, Bruges, Belgium. 6. Antwerp Orthopedic Center, Monica Hospitals, Harmoniestraat 68, 2018, Antwerp, Belgium.
Abstract
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.
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.
Authors: Elizaveta Kon; Marco Delcogliano; Giuseppe Filardo; Maurizio Busacca; Alessandro Di Martino; Maurilio Marcacci Journal: Am J Sports Med Date: 2011-02-10 Impact factor: 6.202