Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Cartilage Repair
Abstract number: 26020
RESULTS OF MOSAICPLASTY - ROLE OF ETIOLOGY AND LOCALIZATION OF
LESIONS
Adrian Emilian BADILA, Radu Adrian RADULESCU, Octavian NUTIU, Robert
MANOLESCU, Cristian Gabriel NITA, Ionut JAPIE, Traian CIOBANU
Bucharest University Hospital, Bucharest (ROMANIA)
Aim: to determine the influence of etiology and localization of lesions on the outcome
of mosaicplasty. Material and methods: After an average follow-up of 4 years and 2
months, results of mosaicplasty were available for 64 patients. The mean age was 28
years and 5 months. The type and etiology of these lesions were: chondral
posttraumatic lesions 30, osteocartilaginous fractures 14, osteochondritis dissecans
20. The lesions were located on the medial femoral condyle 46, lateral femoral
condyle 8, femoral trochleea 6, patella 4. The IKDC Score was used to quantify the
results. Results: The average final scores were: medial femoral condyle 85, lateral
femoral condyle 83, femoral trochleea 77, patella 79. For the femur, the results
(mean IKDC Scores) according to localization in the Cahill and Berg classification
were: Zone 1 -86,24; Zone 2 -85,31, Zone 3 -88,36; Zone 4 -82,44; Zone 5 -82,17.
The mean IKDC Scores according to localization in Harding areas were: A -86,23, B -
84,58, C -84,15. The average final IKDC Scores depending on etiology were:
posttraumatic chondral lesions -86,72; osteocartilaginous fractures -88,22;
osteochondritis dissecans 82,14.Conclusions: The site of lesion influences the
treatment outcome: the mosaicplasty of condilar lesions have better results than
those of trochlear or patellar lesions. The best results are recorded in the third
compartment in Cahill and Berg classification and in the A segment of Harding
classification. The posttraumatic chondral lesions and osteocartilaginous fractures
have better prognostic than osteochondritis dissecans.
197