Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jan 31;15(1):222-225.
doi: 10.1016/j.jor.2018.01.021. eCollection 2018 Mar.

Early determinants of long-term clinical outcome after cartilage repair surgery in the knee

Eirik Solheim  1   2   3 , Janne Hegna  2 , Eivind Inderhaug  1   3
Affiliations

Early determinants of long-term clinical outcome after cartilage repair surgery in the knee

Eirik Solheim et al. J Orthop. .

Erratum in

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.

Keywords: Arthroscopy; Articular cartilage defects; Knee; Microfracture; Mosaicplasty.

PubMed Disclaimer

References

    1. Hjelle K., Solheim E., Strand T., Muri R., Brittberg M. Articular cartilage defects in 1,000 knee arthroscopies. Arthroscopy. 2002;18(7):730–734. - PubMed
    1. Heir S., Nerhus T.K., Røtterud J.H. Focal cartilage defects in the knee impair quality of life as much as severe osteoarthritis: a comparison of knee injury and osteoarthritis outcome score in 4 patient categories scheduled for knee surgery. Am J Sports Med. 2010;38(2):231–237. - PubMed
    1. Hunziker E.B., Lippuner K., Keel M.J.B., Shintani N. An educational review of cartilage repair: precepts & practice–myths & misconceptions–progress & prospects. Osteoarthr Cartil. 2015;23(3):334–350. - PubMed
    1. Karuppal R. Current concepts in the articular cartilage repair and regeneration. J Orthop. 2017;14(2):A1–A3. - PMC - PubMed
    1. Rodrigo J.J., Steadman J.R., Silliman J.F., Fulstone H.A. Improvement of full-thickness chondral defect healing in the human knee after debridement and microfracture using continuous passive motion. Am J Knee Surg. 1994;(3):109–116.

LinkOut - more resources