The main purpose of this paper is to describe a new arthroscopic-assisted surgical technique for focal resurfacing of the medial tibiofemoral compartment. The secondary aim is to present the preliminary clinical and radiographic results in a case series of 13 consecutive patients at a mean follow-up of 29 months. All patients were treated with the presented surgical procedure between November 2006 and March 2007 for Ahlback grade 3 osteoarthritis restricted to the medial tibiofemoral compartment. Subjective evaluation was based on a visual analogue scale for self-assessment of joint pain. Objective clinical evaluation was based on the Hospital for Special Surgery score. Range of motion was evaluated with a manual goniometer. Radiographic evaluation compared hip-knee-ankle angle preoperatively and postoperatively. The presented technique has shown good clinical and functional results. The Hospital for Special Surgery score and visual analogue scale showed a significant improvement (P<0.0001 and P=0.0002, respectively). Range of motion and axial alignment were not significantly modified with respect to preoperative condition. Despite the small sample size and short follow-up, an arthroscopic-assisted procedure for focal resurfacing of the medial compartment of the knee can be a viable option for early-onset osteoarthritis in selected cases, providing good pain relief and functional results at 2-year follow-up.

Arthroscopic-assisted focal resurfacing of the knee with minimal bone resection: Surgical technique and preliminary clinical results / Marcacci, Maurilio; Bruni, Danilo; Zaffagnini, Stefano; Iacono, Francesco; Lo Presti, Mirco ; Neri, Maria Pia; Marcheggiani Muccioli, Giulio Maria; Raspugli, Giovanni. - In: TECHNIQUES IN KNEE SURGERY. - ISSN 1536-0636. - STAMPA. - 10:2(2011), pp. 116-125. [10.1097/BTK.0b013e31820cfcf4]

Arthroscopic-assisted focal resurfacing of the knee with minimal bone resection: Surgical technique and preliminary clinical results

MARCACCI, MAURILIO;BRUNI, DANILO;ZAFFAGNINI, STEFANO;IACONO, FRANCESCO;LO PRESTI, MIRCO;NERI, MARIA PIA;MARCHEGGIANI MUCCIOLI, GIULIO MARIA;RASPUGLI, GIOVANNI FRANCESCO
2011

Abstract

The main purpose of this paper is to describe a new arthroscopic-assisted surgical technique for focal resurfacing of the medial tibiofemoral compartment. The secondary aim is to present the preliminary clinical and radiographic results in a case series of 13 consecutive patients at a mean follow-up of 29 months. All patients were treated with the presented surgical procedure between November 2006 and March 2007 for Ahlback grade 3 osteoarthritis restricted to the medial tibiofemoral compartment. Subjective evaluation was based on a visual analogue scale for self-assessment of joint pain. Objective clinical evaluation was based on the Hospital for Special Surgery score. Range of motion was evaluated with a manual goniometer. Radiographic evaluation compared hip-knee-ankle angle preoperatively and postoperatively. The presented technique has shown good clinical and functional results. The Hospital for Special Surgery score and visual analogue scale showed a significant improvement (P<0.0001 and P=0.0002, respectively). Range of motion and axial alignment were not significantly modified with respect to preoperative condition. Despite the small sample size and short follow-up, an arthroscopic-assisted procedure for focal resurfacing of the medial compartment of the knee can be a viable option for early-onset osteoarthritis in selected cases, providing good pain relief and functional results at 2-year follow-up.
2011
Arthroscopic-assisted focal resurfacing of the knee with minimal bone resection: Surgical technique and preliminary clinical results / Marcacci, Maurilio; Bruni, Danilo; Zaffagnini, Stefano; Iacono, Francesco; Lo Presti, Mirco ; Neri, Maria Pia; Marcheggiani Muccioli, Giulio Maria; Raspugli, Giovanni. - In: TECHNIQUES IN KNEE SURGERY. - ISSN 1536-0636. - STAMPA. - 10:2(2011), pp. 116-125. [10.1097/BTK.0b013e31820cfcf4]
Marcacci, Maurilio; Bruni, Danilo; Zaffagnini, Stefano; Iacono, Francesco; Lo Presti, Mirco ; Neri, Maria Pia; Marcheggiani Muccioli, Giulio Maria; Raspugli, Giovanni
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/522411
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