SURGICAL TREATMENT OF OSTEOCHONDRAL LESIONS OF THE KNEE BY MEANS OF MOSAICPLASTY

Ozório De Almeida Lira Neto; Carlos Eduardo Da Silveira Franciozi; Geraldo Sérgio De Mello Granata Júnior; Antonio Altenor Bessa De Queiroz; Mario Carneiro Filho; Ricardo Dizioli Navarro

doi:10.1016/S2255-4971(15)30288-3

SURGICAL TREATMENT OF OSTEOCHONDRAL LESIONS OF THE KNEE BY MEANS OF MOSAICPLASTY

Rev Bras Ortop. 2015 Nov 16;45(2):166-73. doi: 10.1016/S2255-4971(15)30288-3. eCollection 2010 Mar-Apr.

Authors

Ozório De Almeida Lira Neto¹, Carlos Eduardo Da Silveira Franciozi¹, Geraldo Sérgio De Mello Granata Júnior², Antonio Altenor Bessa De Queiroz³, Mario Carneiro Filho⁴, Ricardo Dizioli Navarro⁵

Affiliations

¹ Physician in the Knee Group of the Discipline of Orthopedics, Department of Orthopedics and Traumatology, Federal University of Sao Paulo (Unifesp).
² PhD from the Federal University of Sao Paulo. Physician in the Knee Group of the Discipline of Orthopedics, Department of Orthopedics and Traumatology, Federal University of Sao Paulo (Unifesp).
³ MSc in Sciences from Unifesp. Physician in the Knee Group of the Discipline of Orthopedics, Department of Orthopedics and Traumatology, Federal University of Sao Paulo (Unifesp).
⁴ PhD in Sciences from Unifesp. Affiliated Professor, Federal University of Sao Paulo (Unifesp).
⁵ Full Associate Professor and Head of the Knee Group of the Discipline of Orthopedics, Department of Orthopedics and Traumatology, Federal University of Sao Paulo (Unifesp).

Abstract

Objective: To evaluate the functional results from the technique of mosaicplasty, in the knees of patients with osteochondral lesions.

Methods: Between August 1999 and March 2005, 27 patients underwent mosaicplasty on their knees. Twenty-one were male and six were female. The patients' ages ranged from 16 to 64 years (mean of 38.1 years). Seventeen lesions were located on the right knee and ten on the left knee. The lesion was located on the lateral femoral condyle in four patients (15%), on the medial femoral condyle in 18 patients (66.5%) and on the patella in five patients (18.5%). The lesion sizes ranged from 1 to 8 cm(2) (mean of 2.7 cm(2)). The patients were evaluated before and after the operation using Lysholm's functional scale, with a mean follow-up of 2.5 years.

Results: Before the operation, the mean was 62.7 points, and after the operation, the mean was 95.4 points. The patients who underwent mosaicplasty on the lateral femoral condyle presented a mean of 51.5 points before the operation, and a mean of 100 points after the operation. In relation to the medial femoral condyle, the mean before the operation was 64.1 points, and it was 95.4 points after the operation. In relation to the patella, the mean before the operation was 66.4 points, and it was 92 points after the operation.

Conclusion: Mosaicplasty proved to be a good alternative for treating osteochondral lesions of the knee. It presented better evolution in relation to lesions of the femoral condyles than in relation to lesions located on the patella.

Keywords: Arthroscopy; Autologous transplantation; Cartilage diseases/surgery; Joint cartilage/transplantation; Knee joint/surgery.