Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2015

01-08-2015 | Knee

The use of a prosthetic inlay resurfacing as a salvage procedure for a failed cartilage repair

Authors: Aad Alfons Maria Dhollander, Karl Fredrik Almqvist, Kris Moens, Pieter-Jan Vandekerckhove, René Verdonk, Peter Verdonk, Jan Victor

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2015

Login to get access

Abstract

Purpose

This study was designed to describe the clinical and radiographical outcome of the HemiCAP® resurfacing system as a salvage treatment for a failed index cartilage procedure.

Methods

Fourteen patients were treated consecutively and clinically prospectively followed for a mean period of 26.1 ± 12.8 months. All patients were previously treated for their cartilage lesion. Radiographical data were analysed based on the Kellgren and Lawrence system.

Results

The patients involved in this study demonstrated a gradual clinical improvement in time. However, radiographically significant osteoarthritic changes were observed during the follow-up period. The position of the HemiCAP® resurfacing system was adequate in all cases, and no signs of loosening were observed during the follow-up period.

Conclusions

The HemiCAP® resurfacing system is feasible as a salvage treatment for a failed index cartilage procedure and resulted in a gradual clinical improvement. However, the favourable clinical outcome was not confirmed by the radiographical findings.

Level of evidence

IV.
Literature
1.
Archibeck MG, White RE (2003) What’s new in adult reconstructive knee surgery. J Bone Joint Surg Am 85:1404–1411PubMed
2.
Becher C, Huber R, Thermann H, Paessler HH, von Skrbensy G (2008) Effects of a contoured articular prosthetic device on tib-iofemoral peak contact pressure: a biomechanical study. Knee Surg Sports Traumatol Arthrosc 16:56–63PubMedCentralPubMedCrossRef
3.
Becher C, Huber R, Thermann H, Ezechieli L, Ostermeier S, Wellmann M, von Skrbensky G (2011) Effects of a surface matching articular resurfacing device on tibiofemoral contact pressure: results from continuous dynamic flexion–extension cycles. Arch Orthop Trauma Surg 131:413–419PubMedCrossRef
4.
Becher Kalbe C, Thermann H et al (2011) Minimum 5-year results of focal articular prosthetic resurfacing for the treatment of full thickness articular cartilage defects in the knee. Arch Orthop Trauma Surg 131:1135–1143PubMedCrossRef
5.
Bekkers JE, de Windt TS, Raijmakers NJ, Dhert WJ, Saris DB (2009) Validation of the knee injury and osteoarthritis outcome score (KOOS) for the treatment of focal cartilage lesions. Osteoarthritis Cartilage 17:1434–1439PubMedCrossRef
6.
Bijur PE, Silver W, Gallagher EJ (2001) Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med 8:1153–1157PubMedCrossRef
7.
Bollars P, Bosquet M, Vandekerckhove B, Hardeman F, Bellemans J (2012) Prosthetic inlay resurfacing for the treatment of focal, full thickness cartilage defects of the femoral condyle: a bridge between biologics and conventional arthroplasty. Knee Surg Sports Traumatol Arthrosc 20(9):1753–1759PubMedCrossRef
8.
9.
Chahal J, Thiel GV, Hussey K, Cole BJ (2013) Managing the patient with failed cartilage restoration. Sports Med Arthrosc 21(2):62–68PubMedCrossRef
10.
Custers RJH, Saris DBF, Dhert WJA et al (2009) Articular cartilage degeneration following the treatment of focal cartilage defects with ceramic metal implants and compared with microfracture. J Bone Joint Surg Am 91:900–910PubMedCrossRef
11.
Dhollander AAM, Verdonk PCM, Lambrecht S, Verdonk R, Elewaut D, Verbruggen G, Almqvist KF (2012) Short-term outcome of the second generation characterized chondrocyte implantation for the treatment of cartilage lesions in the Knee. Knee Surg Sports Traumatol Arthrosc 20:1118–1127PubMedCrossRef
12.
Gallagher EJ, Bijur PE, Latimer C, Silver W (2002) Reliability and validity of a visual analog scale for acute abdominal pain in the ED. Am J Emerg Med 20:287–290PubMedCrossRef
13.
14.
Kirker-Head C, Van Sickle D, Ek SW, McCool JC (2006) Safety of and biological and functional response to a novel metallic implant for the management of focal full thickness cartilage defects: preliminary assessment in an animal model out to 1 year. J Orthop Res 24(25):1095–1108PubMedCrossRef
15.
Kon E, Delcogliano M, Filardo G, Busacca M, Di Martino A, Marcacci M (2011) Novel nano-composite multilayered biomaterial for osteochondral regeneration: a pilot clinical trial. Am J Sports Med 39:1180–1190PubMedCrossRef
16.
Roos EM, Roos HP, Ekdahl C, Lohmander LS (1998) Knee injury and osteoarthritis outcome score (KOOS): validation of a Swedish version. Scand J Med Sci Sports 8:439–448PubMedCrossRef
17.
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 28:88–96PubMedCrossRef
18.
Shapiro F, Koide S, Glimcher MJ (1993) Cell origin and differentiation in the repair of full-thickness defects of articular cartilage. J Bone Joint Surg Am 75:532–553PubMed
19.
Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49PubMed
Metadata
Title
The use of a prosthetic inlay resurfacing as a salvage procedure for a failed cartilage repair
Authors
Aad Alfons Maria Dhollander
Karl Fredrik Almqvist
Kris Moens
Pieter-Jan Vandekerckhove
René Verdonk
Peter Verdonk
Jan Victor
Publication date
01-08-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-2999-0

Other articles of this Issue 8/2015

Knee Surgery, Sports Traumatology, Arthroscopy 8/2015 Go to the issue

Sports Medicine

Clinical principles in the management of hamstring injuries

Knee

The effects of repeated intra-articular PRP injections on clinical outcomes of early osteoarthritis of the knee

Knee

In vivo performance of a novel silk fibroin scaffold for partial meniscal replacement in a sheep model

Knee

Quantitative pivot shift assessment using combined inertial and magnetic sensing

Knee

Patient demographics and surgical characteristics in ACL revision: a comparison of French, Norwegian, and North American cohorts

Ankle

T2-mapping at 3 T after microfracture in the treatment of osteochondral defects of the talus at an average follow-up of 8 years