Management of chondral and osteochondral defects of the knee using osteochondral autograft transplantation

ABSTRACT

Evaluate the treatment of Chondral and Osteochondral defects of the femoral condyles of the knee using ipsilateral osteochondral autograft transplantation. This work was done at Ain Shams university hospitals, between 2003 and 2005. Eleven patients were submitted in this work aging between 20 and 53 years with lesions varying between an articular cartilage lesion and lesions involving cartilage and subchondral bone. They were treated using Osteochondral autograft transplantation [open technique]. Cases with malalignment, ligamentous instability; arthritic or mentally unreliable were excluded. Cases were evaluated 6 months following surgery using the HSS [Hospital of Special Surgery] scoring system. Ten out of eleven patients had a score ranging from excellent to good as they noted considerable improvement in symptoms especially concerning pain. Only one patient had a poor score. On the basis of these encouraging results, I believe that Mosaicplasty may be a good alternative for the treatment of localized chondral and Osteochondral defects