Journal article
Sports Activity After Reconstruction of Osteochondral Lesions of the Talus With Autologous Spongiosa Grafts and Autologous Matrix-Induced Chondrogenesis.
- Wiewiorski M Orthopaedic and Trauma Department, Kantonsspital Winterthur, Winterthur, Switzerland wiewiorskim@gmail.com.
- Werner L Orthopaedic Department, University Hospital of Basel, Basel, Switzerland.
- Paul J Praxisklinik Rennbahn AG, Muttenz, Switzerland.
- Anderson AE Harold K. Dunn Orthopaedic Research Laboratory, Department of Orthopaedics, University of Utah, Salt Lake City, Utah, USA.
- Barg A Department of Orthopaedics, University of Utah, Salt Lake City, Utah, USA.
- Valderrabano V Orthopaedic and Trauma Department, Schmerzklinik Basel, Genolier Swiss Medical Network, Basel, Switzerland.
- 2016-09-03
Published in:
- The American journal of sports medicine. - 2016
AMIC
osteochondral lesion
sports activity
talus
Adolescent
Adult
Autografts
Chondrogenesis
Female
Humans
Lysholm Knee Score
Male
Middle Aged
Osteotomy
Pain Measurement
Retrospective Studies
Sports
Talus
Transplantation, Autologous
Treatment Outcome
Visual Analog Scale
Young Adult
English
BACKGROUND
For the treatment of osteochondral lesions of the talus (OCLTs), autologous matrix-induced chondrogenesis (AMIC) is a safe 1-step procedure with good clinical and radiological results. However, data regarding postoperative sports activity after AMIC are limited.
PURPOSE
To identify significant factors influencing the rate of postoperative sports and recreational activities.
STUDY DESIGN
Case series; Level of evidence, 4.
METHODS
The sports and recreational activities of 60 patients (mean age, 34.9 ± 11.5 years) undergoing the AMIC procedure were retrospectively analyzed at a mean of 46.9 ± 17.8 months (range, 24.5-87.0 months) postoperatively. The visual analog scale (VAS) for pain score, Tegner activity scale score, activity rating scale (ARS) score, and satisfaction with surgery outcomes were assessed.
RESULTS
Corrective calcaneal osteotomy was performed in 38 of 60 (63.3%) patients. Ligament repair was performed in 41 of 60 (68.3%) patients. The mean VAS score improved significantly from 6.9 ± 1.6 points (range, 5-10 points) preoperatively to 2.3 ± 1.9 points (range, 0-6 points) at latest follow-up (P < .001). No significant change in the mean Tegner activity scale score (3.3 ± 2.0 preoperatively to 3.4 ± 2.2 postoperatively; P = .526) and the mean ARS score (2.6 ± 4.3 preoperatively to 2.3 ± 3.4 postoperatively; P = .874) was noted. The percentage of patients involved in sports activity before the onset of symptoms became significantly lower at the time of surgery (from 95.0% to 53.3%; P < .001); no significant difference was noted postoperatively (from 53.3% to 58.3%; P = .663). No significant difference of the weekly sports frequency and the duration of sports activity was found postoperatively.
CONCLUSION
Patients undergoing AMIC repair of an OCLT participate at a similar low postoperative sports and recreational activity level compared with the preoperative level.
For the treatment of osteochondral lesions of the talus (OCLTs), autologous matrix-induced chondrogenesis (AMIC) is a safe 1-step procedure with good clinical and radiological results. However, data regarding postoperative sports activity after AMIC are limited.
PURPOSE
To identify significant factors influencing the rate of postoperative sports and recreational activities.
STUDY DESIGN
Case series; Level of evidence, 4.
METHODS
The sports and recreational activities of 60 patients (mean age, 34.9 ± 11.5 years) undergoing the AMIC procedure were retrospectively analyzed at a mean of 46.9 ± 17.8 months (range, 24.5-87.0 months) postoperatively. The visual analog scale (VAS) for pain score, Tegner activity scale score, activity rating scale (ARS) score, and satisfaction with surgery outcomes were assessed.
RESULTS
Corrective calcaneal osteotomy was performed in 38 of 60 (63.3%) patients. Ligament repair was performed in 41 of 60 (68.3%) patients. The mean VAS score improved significantly from 6.9 ± 1.6 points (range, 5-10 points) preoperatively to 2.3 ± 1.9 points (range, 0-6 points) at latest follow-up (P < .001). No significant change in the mean Tegner activity scale score (3.3 ± 2.0 preoperatively to 3.4 ± 2.2 postoperatively; P = .526) and the mean ARS score (2.6 ± 4.3 preoperatively to 2.3 ± 3.4 postoperatively; P = .874) was noted. The percentage of patients involved in sports activity before the onset of symptoms became significantly lower at the time of surgery (from 95.0% to 53.3%; P < .001); no significant difference was noted postoperatively (from 53.3% to 58.3%; P = .663). No significant difference of the weekly sports frequency and the duration of sports activity was found postoperatively.
CONCLUSION
Patients undergoing AMIC repair of an OCLT participate at a similar low postoperative sports and recreational activity level compared with the preoperative level.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1177/0363546516659643
- PMID 27587743
- Persistent URL
- https://sonar.ch/global/documents/92634
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