Top

Archives of Orthopaedic and Trauma Surgery

Published in:

01-06-2016 | Arthroscopy and Sports Medicine

Characteristics and associated factors of Klee cartilage lesions: preliminary baseline-data of more than 1000 patients from the German cartilage registry (KnorpelRegister DGOU)

Authors: Gunter Spahn, Jürgen Fritz, Dirk Albrecht, Gunther O. Hofmann, Philipp Niemeyer

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 6/2016

Abstract

Introduction

Knee cartilage lesions are very frequent in arthroscopic surgery. This multi-center-study was aimed to evaluate the distribution and possible associated factors of these pathologies in more than 1000 patients.

Materials and methods

The German cartilage registry (KnorpelRegister DGOU) started in 2013. In this paper, we present the baseline-data (distribution of knee cartilage lesions and the demographic data) of more than 1000 cases since the registries’ start-up.

Results

A total number of 47 centers were involved into this multicenter study. A total of 1071 patients primary were registered. Degenerative knees 629 times (61.8 %) and injured knees 302 times (29.6 %) were involved. In the remaining 89 knees (8.7 %) the genesis of cartilage lesions was unclear. Single defects were observed in 792 cases (77.6 %). Most frequently the medial femoral condyle or the patella was affected. In 78 knees (7.6 %) the main-defect was associated with a defect of the corresponding joint surface. In the remaining cases complex cartilage damages were found.

Conclusions

Our results are in confirmation with other multicenter studies. But these former studies did not differentiate into traumatic and degenerative lesions. Furthermore no characteristics were given regarding to single, kissing or complex lesions. Thus this database will be a sufficient instrument for the investigation of the “natural course” of cartilage lesions, but above all about the effectiveness of different treatment options.

Brittberg M, Winalski CS (2003) Evaluation of cartilage injuries and repair. J Bone Jt Surg Am 85-A(Suppl 2):58–69

Cicuttini F, Ding C, Wluka A, Davis S, Ebeling PR, Jones G (2005) Association of cartilage defects with loss of knee cartilage in healthy, middle-age adults: a prospective study. Arthritis Rheum 52:2033–2039CrossRefPubMed

Curl WW, Krome J, Gordon ES, Rushing J, Smith BP, Poehling GG (1997) Cartilage injuries: a review of 31,516 knee arthroscopies. Arthroscopy 13:456–460CrossRefPubMed

Ding C, Cicuttini F, Scott F, Boon C, Jones G (2005) Association of prevalent and incident knee cartilage defects with loss of tibial and patellar cartilage: a longitudinal study. Arthritis Rheum 52:3918–3927CrossRefPubMed

Ding C, Cicuttini F, Scott F, Cooley H, Jones G (2005) Association between age and knee structural change: a cross sectional MRI based study. Ann Rheum Dis 64:549–555CrossRefPubMedPubMedCentral

Granan LP, Bahr R, Lie SA, Engebretsen L (2009) Timing of anterior cruciate ligament reconstructive surgery and risk of cartilage lesions and meniscal tears: a cohort study based on the Norwegian National Knee Ligament Registry. Am J Sports Med 37:955–961CrossRefPubMed

Granan LP, Forssblad M, Lind M, Engebretsen L (2009) The Scandinavian ACL registries 2004–2007: baseline epidemiology. Acta Orthop 80:563–567CrossRefPubMedPubMedCentral

Hefti F, Muller W, Jakob RP, Staubli HU (1993) Evaluation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatol Arthrosc 1:226–234CrossRefPubMed

Heir S, Nerhus TK, Rotterud JH, Loken S, Ekeland A, Engebretsen L, Aroen A (2010) Focal cartilage defects in the knee impair quality of life as much as severe osteoarthritis: a comparison of knee injury and osteoarthritis outcome score in 4 patient categories scheduled for knee surgery. Am J Sports Med 38:231–237CrossRefPubMed

10.

Hjelle K, Solheim E, Strand T, Muri R, Brittberg M (2002) Articular cartilage defects in 1000 knee arthroscopies. Arthroscopy 18:730–734CrossRefPubMed

11.

Kolling C, Simmen BR, Labek G, Goldhahn J (2007) Key factors for a successful National Arthroplasty Register. J Bone Jt Surg Br 89:1567–1573CrossRef

12.

Niemeyer P, Schweigler K, Grotejohann B, Maurer J, Angele P, Aurich M, Becher C, Fay J, Feil R, Fickert S, Fritz J, Hoburg A, Kreuz P, Kolombe T, Laskowski J, Lutzner J, Marlovits S, Muller PE, Niethammer T, Pietschmann M, Ruhnau K, Spahn G, Tischer T, Zinser W, Albrecht D (2015) The German Cartilage Registry (KnorpelRegister DGOU) for evaluation of surgical treatment for cartilage defects: experience after six months including first demographic data. Z Orthop Unfall 153:67–74CrossRefPubMed

13.

Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998) Knee Injury and Osteoarthritis Outcome Score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther 28:88–96CrossRefPubMed

14.

Schmidt M, Schmidt SA, Sandegaard JL, Ehrenstein V, Pedersen L, Sorensen HT (2015) The Danish National Patient Registry: a review of content, data quality, and research potential. Clin Epidemiol 7:449–490CrossRefPubMedPubMedCentral

15.

Sharma L, Kapoor D (2007) Epidemiology of osteoarthritis. In: Moskowitz RW, Altman R, Hochberg MC, Buckwalter JA, Goldberg VM (eds) Osteoarthritis. Diagnosis and Medical/Surgical Management, 4th edn. Lippincott Williams & Wilkins, Philadelphia, pp 3–26

16.

Solheim E, Krokeide AM, Melteig P, Larsen A, Strand T, Brittberg M (2014) Symptoms and function in patients with articular cartilage lesions in 1000 knee arthroscopies. Knee Surg, Sports Traumatol Arthrosc

17.

Spahn G, Hofmann GO (2014) Focal cartilage defects within the medial knee compartment. Predictors for osteoarthritis progression. Z Orthop Unfall 152:480–488CrossRefPubMed

18.

Spahn G, Kahl E, Klinger HM, Muckley T, Gunther M, Hofmann GO (2007) Mechanical behavior of intact and low-grade degenerated cartilage. Biomed Tech (Berl) 52:216–222CrossRef

19.

Spahn G, Muckley T, Klinger HM, Hofmann GO (2008) Whole-organ Arthroscopic Knee Score (WOAKS). BMC Musculoskelet Disord 9:155CrossRefPubMedPubMedCentral

20.

Widuchowski W, Widuchowski J, Trzaska T (2007) Articular cartilage defects: study of 25,124 knee arthroscopies. Knee 14:177–182CrossRefPubMed

Title: Characteristics and associated factors of Klee cartilage lesions: preliminary baseline-data of more than 1000 patients from the German cartilage registry (KnorpelRegister DGOU)
Authors: Gunter Spahn
Jürgen Fritz
Dirk Albrecht
Gunther O. Hofmann
Philipp Niemeyer
Publication date: 01-06-2016
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 6/2016
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-016-2432-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Characteristics and associated factors of Klee cartilage lesions: preliminary baseline-data of more than 1000 patients from the German cartilage registry (KnorpelRegister DGOU)

Abstract

Introduction

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 6/2016

Patella tracking and patella contact pressure in modular patellofemoral arthroplasty: a biomechanical in vitro analysis

Concomitant posterior cruciate ligament injuries with direct injury-related patellar fractures

Predictors for satisfaction after anatomic total shoulder arthroplasty for idiopathic glenohumeral osteoarthritis

Are people following hip and knee arthroplasty at greater risk of experiencing a fall and fracture? Data from the Osteoarthritis Initiative

Serial structural MRI evaluation of arthroscopy rotator cuff repair: does Sugaya’s classification correlate with the postoperative clinical outcomes?

Importance of additional temporary pin fixation combined coracoclavicular augmentation using a suture button device for acute acromioclavicular joint dislocation