Clinical outcomes following osteochondral autologous transplantation (OATS).
This study evaluated the clinical outcome in 21 patients (22 knees) undergoing osteochondral autologous transplantation (OATS) in the knee over a 5-year period. Sixteen knees in 15 patients were available for follow-up at an average of 40 months after the procedure. The clinical outcome was analyzed using the IKDC and Knee and Osteoarthritis Outcome Score (KOOS) evaluation forms, a subjective questionnaire, and a clinical examination. At final follow-up, the average KOOS result for pain was 80.6 (range: 56-94), symptoms 53.6 (range: 25-71), function of activities of daily living 93.4 (range: 79-100), function of sports and recreational activities 65.3 (range: 20-100), and quality of life 51.0 (range: 6-88). The average IKDC score was 68.2. On our subjective questionnaire, the average preoperative grade given was 3.1 (range: 1-7) with an improvement at the most recent follow-up to a grade of 8.0 (range: 5-10) (P < .00001). Thirteen (86%) patients reported that they would have the surgery again if they had to make the decision a second time. Age did not correlate with subjective results on the IKDC evaluation (P = .7048) or score difference on our questionnaire (P = .9175). This procedure provides an option for articular resurfacing of the femoral condyles for focal areas of chondral defects with promising results regarding subjective improvement.
Lahav
Amit
A
Department of Orthopedic Surgery, University of Utah Orthopedics Center, 590 Wakara Way, Salt Lake City, UT 84108, USA.
Burks
Robert T
RT
Greis
Patrick E
PE
Chapman
Andrew W
AW
Ford
Gregory M
GM
Fink
Barbara P
BP
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D002358:Cartilage, Articular / Q000293:injuries* / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D007899:Leisure Activities; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D011788:Quality of Life; D013177:Sports; D011795:Surveys and Questionnaires; D014182:Transplantation, Autologous; D016896:Treatment Outcome