|کد مقاله||کد نشریه||سال انتشار||مقاله انگلیسی||ترجمه فارسی||نسخه تمام متن|
|6211101||1267205||2016||6 صفحه PDF||سفارش دهید||دانلود رایگان|
- Microfracture has poorer histologic outcomes than other cartilage repair techniques.
- OATS produces repairs more likely to be comprised of mostly hyaline cartilage.
- ACI-P, MACI, ACI-C, and OATS showed no major differences in ICRS scores.
BackgroundCompare histological outcomes after microfracture (MF), autologous chondrocyte implantation (ACI), and osteochondral autograft transfer (OATS).MethodsLiterature review using PubMed MEDLINE, SCOPUS, Cumulative Index for Nursing and Allied Health Literature (CINAHL), and Cochrane Collaboration Library. Inclusion criteria limited to English language studies International Cartilage Repair Society (ICRS) grading criteria for cartilage analysis after ACI (autologous chondrocyte implantation), MF (microfracture), or OATS (osteochondral autografting) repair techniques.ResultsThirty-three studies investigating 1511 patients were identified. Thirty evaluated ACI or one of its subtypes, six evaluated MF, and seven evaluated OATS. There was no evidence of publication bias (Begg's pÂ =Â 0.48). No statistically significant correlation was found between percent change in clinical outcome and percent biopsies showing ICRS Excellent scores (R2Â =Â 0.05, pÂ =Â 0.38). Percent change in clinical outcome and percent of biopsies showing only hyaline cartilage were significantly associated (R2Â =Â 0.24, pÂ =Â 0.024). Mean lesion size and histological outcome were not correlated based either on percent ICRS Excellent (R2Â =Â 0.03, pÂ =Â 0.50) or percent hyaline cartilage only (R2Â =Â 0.01, pÂ =Â 0.67). Most common lesion location and histological outcome were not correlated based either on percent ICRS Excellent (R2Â =Â 0.03, pÂ =Â 0.50) or percent hyaline cartilage only (R2Â =Â 0.01, pÂ =Â 0.67).ConclusionsMicrofracture has poorer histologic outcomes than other cartilage repair techniques. OATS repairs primarily are comprised of hyaline cartilage, followed closely by cell-based techniques, but no significant difference was found cartilage quality using ICRS grading criteria among OATS, ACI-C, MACI, and ACI-P.Level of evidenceIV, meta-analysis
Journal: The Knee - Volume 23, Issue 3, June 2016, Pages 344-349