Prognostic factors and their part in the choice of tactics for treating cartilage injuries of the knee joint

Authors

  • Vyacheslav Yevseyenko
  • Igor Zazirniy

DOI:

https://doi.org/10.15674/0030-59872010328-30

Keywords:

knee joint, cartilage defect, microfracture, prognostic factors

Abstract

Injuries of the knee joint are very often accompanied by defects of the articular cartilage, but the factors, which can influence the treatment results, are not taken into consideration. With help of the technique of microfractures of the cartilage defect floor, injuries of the knee joint cartilage were treated. The obtained results were statistically processed in order to study the effects of such factors as the size and localization of the injuries and the patients’ age. The statistical processing used regression analysis. This research demonstrates a significant influence of such factors as the patient’s age, the size and localization of the cartilage injury on the clinical results of the treatment during 3 postoperative years. The published results provide a basis for a more detailed assessment of the treatment prognosis and can be useful for developing individual strategies in the treatment of localized injuries of the knee joint cartilage.

References

  1. Brittberg M. Evaluation of cartilage injuries and repair [Text] / M. Brittberg, C. S. Winalski // J. Bone Joint Surg. Am. — 2003. — Vol. 85 (2). — P. 58–69.
  2. Cartilage injuries: a review of 31,516 knee arthroscopies [Text] / W. W. Curl, J. Krome, E. S. Gordon at al. // Arthroscopy. — 1997. — Vol. 13. — P. 456–460.
  3. Knee complaints vary with age and gender in the adult population: population-based reference data for the Knee injury and Osteoarthritis Outcome Score (KOOS) [Text] / P. T. Paradowski, S. Bergman, A. Sunden-Lundius et al. // BMC Musculoskelet Disord. — 2006. — Vol. 7. — P. 38.
  4. Knee injury and Osteoarthritis Outcome Score (KOOS): De¬velopment of a self-administered outcome measure [Text] / E. M. Roos, P. H. Roos, L. S. Lohmander et al. // J. Orthopaedic and Sports Physical Therapy. — 1998. — Vol. 78 (2). — P. 88–96.
  5. Saris D. B. Joint homeostasis: the discrepancy between old and fresh defects in cartilage repair [Text] / D. B. Saris, W. J. Dhert, A. J. Verbout // J. Bone Joint Surg. Br. — 2003. — Vol. 85(7). — P.1067–1076.
  6. Seiler S. Standardised Orthopaedic Cartilage Repair and Treatment Evaluation Software (SOCRATES ) [Електрон. ресурс]. — Режим доступу: http://www.socratesortho.com/.
  7. Steadman J. R. Microfracture: surgical technique and rehabilitation to treat chondral defects [Text] / J. R. Steadman, W. G. Rodkey, J. J. Rodrigo // Clin. Orthop. Relat. Res. — 2001. — Vol. 391. — P. 362–369.

How to Cite

Yevseyenko, V., & Zazirniy, I. (2010). Prognostic factors and their part in the choice of tactics for treating cartilage injuries of the knee joint. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (3), 28–30. https://doi.org/10.15674/0030-59872010328-30

Issue

Section

ORIGINAL ARTICLES