Current practice of concomitant surgeries in cartilage repair of the femorotibial compartment of the knee: baseline data of 4968 consecutive patients from the German cartilage registry (KnorpelRegister DGOU)

URN to cite this document:

urn:nbn:de:bvb:355-epub-477467 Copy

DOI to cite this document:

10.5283/epub.47746 Copy

Zellner, Johannes ; Faber, Svea ; Spahn, Gunter ; Zinser, Wolfgang ; Niemeyer, Philipp ; Angele, Peter

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License: Creative Commons Attribution 4.0 PDF - Published Version (1MB)

Date of publication of this fulltext: 03 Aug 2021 11:21

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This publication is part of the DEAL contract with Springer.

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Details

Item type:	Article
Open Access Type:	DEAL (Springer)
Journal or Publication Title:	Archives of Orthopaedic and Trauma Surgery
Publisher:	Springer
Date:	29 July 2021
Institutions:	Medicine > Lehrstuhl für Unfallchirurgie
Identification Number:	Value Type 10.1007/s00402-021-04077-7 DOI
Keywords:	Cartilage treatment knee, Concomitant surgery, Comorbidity, Osteotomy, Instability, Meniscus
Dewey Decimal Classification:	600 Technology > 610 Medical sciences Medicine
Status:	Published
Refereed:	Yes, this version has been refereed
Created at the University of Regensburg:	Partially
Item ID:	47746

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Abstract

Introduction The treatment of underlying comorbidities is a field of rising interest in cartilage repair surgery. The aim of this study was to analyze the current practice of concomitant surgeries in cartilage repair of the knee especially in the medial or lateral femorotibial compartment. Type, frequency and distribution of additional surgeries for correction of malalignment, knee instability ...

Abstract

Introduction
The treatment of underlying comorbidities is a field of rising interest in cartilage repair surgery. The aim of this study was to analyze the current practice of concomitant surgeries in cartilage repair of the knee especially in the medial or lateral femorotibial compartment. Type, frequency and distribution of additional surgeries for correction of malalignment, knee instability and meniscus deficiency should be evaluated.
Methods
Baseline data of 4968 patients of the German Cartilage Registry (KnorpelRegister DGOU) were analyzed regarding the distribution of concomitant surgeries in addition to regenerative cartilage treatment.
Results
Beyond 4968 patients 2445 patients with cartilage defects in the femorotibial compartment of the knee could be identified. Of these patients 1230 (50.3%) received additional surgeries for correction of malalignment, instability and meniscus deficiency. Predominant procedures were leg axis corrections (31.3%), partial meniscectomy (20.9%) and ACL reconstruction (13.4%). The distribution of the concomitant surgeries varied between cartilage defects according to the different defect genesis. Patients with traumatic defects were younger (36y) and received predominantly ACL reconstructions (29.2%) (degenerative: 6.7%), whereas patients with degenerative defects were older (43y) and underwent predominantly leg axis corrections (38.0%; traumatic: 11.0%).
Conclusions
This study shows the high frequency and distinct distribution of the concomitant surgeries in addition to regenerative cartilage treatment procedures. Understanding of the underlying cause of the cartilage defect and addressing the comorbidities as a whole joint therapy are of utmost importance for a successful regenerative cartilage treatment. These data provide a baseline for further follow up evaluations and long-term outcome analysis.
Level of evidence II.

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Metadata last modified: 05 Aug 2022 12:37

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