Mid‐ toLong‐TermClinical Outcomes of Cartilage Restoration of Knee Joint with AllogenicNext‐Generation Matrix‐InducedAutologous Chondrocyte Implantation (MACI)
Prom
Autologous chondrocyte implantation
Patient-reported outcome
DOI:
10.1111/os.13662
Publication Date:
2023-01-18T04:08:46Z
AUTHORS (4)
ABSTRACT
Cartilage defect is a common pathology still lacking unified treating option. The purpose of this retrospective study to evaluate the safety, efficacy, and clinical radiological outcome cartilage restoration knee joint with allogenic next-generation Matrix-Induced Autologous Chondrocyte Implantation (MACI) for first time, as well correlation between postoperative outcomes preoperative patient history demographics.From July 2014 August 2020, 15 patients who went through MACI were included in study. Patient demographics PROM including International Knee Documentation Committee (IKDC) subjective score, Lysholm Tegner Activity Scale (TAS), Injury Osteoarthritis Outcome Score (KOOS) obtained preoperatively, at 3, 6, 12 months postoperatively last follow-up using an online questionnaire platform. MOCART 2.0 score was calculated follow-up. Analysis variance (ANOVA) used compare pre- post-operation, two-tailed p < 0.05 defined statistical significant. Pearson coefficient demorgraphics.All followed average 66.47 ± 24.15 (range, 21-93). All satisfied surgery no complication reported end No significant improvement observed until 1 year after implantation, except IKDC 6 months. showed post-op TAS, which also increased significantly time that size defect, before or debridement, negatively correlated final KOOS-Pain (before debridement: r = -0.57, 0.05; -0.54, 0.05) KOOS-Symptoms -0.66, -0.67, 0.05). found BMI (r -0.60, 0.05), positively 0.70, 0.05).The next generation autologous chondrocyte ECM scaffold could be treat focal articular safely efficiently lasting promising more than 5 years. defects should considered most parameters influencing outcomes.
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