Eirik Solheim1,2,3, Janne Hegna2, Eivind Inderhaug1,3. 1. Department of Orthopedics, Deaconess University Hospital, Haraldsplass, Bergen, Norway. 2. Department of Orthopedics, Aleris Nesttun Hospital, Bergen, Norway. 3. Department of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Abstract
PURPOSE: To identify early determinants of clinical outcome after knee cartilage repair. METHODS: 205 patients were evaluated before surgery and at median 14-years follow-up. RESULTS: Baseline factors predicting a good outcome were: single lesion; normal appearing cartilage surrounding the lesion; high baseline Lysholm score; short duration of symptoms; non-involvement of the patella-femoral joint; young age; and small defect. Factors predicting a poor outcome were: multiple lesions; low baseline Lysholm score; degenerative cartilage surrounding the lesion; long symptom duration; meniscal lesion; and large defect. CONCLUSIONS: The choice of surgical method seem to be less important than other patients-specific predictors. LEVEL OF EVIDENCE: Case series, Level IV.
PURPOSE: To identify early determinants of clinical outcome after knee cartilage repair. METHODS: 205 patients were evaluated before surgery and at median 14-years follow-up. RESULTS: Baseline factors predicting a good outcome were: single lesion; normal appearing cartilage surrounding the lesion; high baseline Lysholm score; short duration of symptoms; non-involvement of the patella-femoral joint; young age; and small defect. Factors predicting a poor outcome were: multiple lesions; low baseline Lysholm score; degenerative cartilage surrounding the lesion; long symptom duration; meniscal lesion; and large defect. CONCLUSIONS: The choice of surgical method seem to be less important than other patients-specific predictors. LEVEL OF EVIDENCE: Case series, Level IV.
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