Zellner, Johannes and Faber, Svea and Spahn, Gunter and Zinser, Wolfgang and Niemeyer, Philipp and Angele, Peter (2023) 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). ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 143. pp. 571-581. ISSN 0936-8051, 1434-3916
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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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ANTERIOR CRUCIATE LIGAMENT; AUTOLOGOUS CHONDROCYTE IMPLANTATION; HIGH TIBIAL OSTEOTOMY; DEFECTS; MENISCUS; TIME; COMPLICATIONS; INJURIES; LESIONS; TISSUE; Cartilage treatment knee; Concomitant surgery; Comorbidity; Osteotomy; Instability; Meniscus |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie |
| Depositing User: | Petra Gürster |
| Date Deposited: | 07 Nov 2024 07:40 |
| Last Modified: | 07 Nov 2024 07:40 |
| URI: | https://pred.uni-regensburg.de/id/eprint/46746 |
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