TY - JOUR
T1 - Treatment of osteochondral lesions in the elbow
T2 - results after autologous osteochondral transplantation
AU - Weigelt, L.
AU - Siebenlist, S.
AU - Hensler, D.
AU - Imhoff, A. B.
AU - Vogt, S.
N1 - Publisher Copyright:
© 2015, Springer-Verlag Berlin Heidelberg.
PY - 2015/5/1
Y1 - 2015/5/1
N2 - Background: Osteochondral lesions in the elbow still remain a challenging field of surgery. In recent years promising clinical results were described for the osteochondral transplantation technique. The aim of this retrospective study was to evaluate the clinical and radiological outcome in the mid-term follow-up of a large cohort of patients following osteochondral transplantation in the elbow. Methods: 18 patients with advanced osteochondral lesions of the elbow treated by autologous osteochondral autograft cylinders and a minimum follow-up of 36 months were included in the study. The Broberg–Morrey score (BMS) and the American Shoulder and Elbow score (ASES) were used to assess elbow function and pain, respectively. The joint status was analyzed using plain radiographs and MRI scans taken from all patients at recent follow-up. In addition, the ipsilateral knee joint was examined for donor-site morbidity using the Lysholm knee score. Results: 14 patients were evaluated with a mean follow-up of 7 years (range 3–14 years). The mean BMS was 95.1 (range 72–100) points. The ASES score also showed promising results: pain at worst 1.5 (range 0–5) points, pain at rest 0.4 (range 0–5) points, pain lifting loads 2.8 (range 0–8) points, repetitive movement pain 1.5 (range 0–8) points. The range of motion of the injured elbow was free and equal to the contralateral side. Signs of osteoarthritis could be found on plain radiographs in three patients. The MRIs at follow-up showed graft viability in all patients. However, a slight incongruency of the chondral surface could be detected in two patients. The average Lysholm score was 90.9 (range 0–70) points. Conclusions: Osteochondral transplantation in the elbow leads to both clinical and radiographic good-to-excellent mid-term results and therefore represents a reasonable treatment option for advanced osteochondral lesions in the elbow. Level of evidence: Retrospective study; Therapeutic Level IV.
AB - Background: Osteochondral lesions in the elbow still remain a challenging field of surgery. In recent years promising clinical results were described for the osteochondral transplantation technique. The aim of this retrospective study was to evaluate the clinical and radiological outcome in the mid-term follow-up of a large cohort of patients following osteochondral transplantation in the elbow. Methods: 18 patients with advanced osteochondral lesions of the elbow treated by autologous osteochondral autograft cylinders and a minimum follow-up of 36 months were included in the study. The Broberg–Morrey score (BMS) and the American Shoulder and Elbow score (ASES) were used to assess elbow function and pain, respectively. The joint status was analyzed using plain radiographs and MRI scans taken from all patients at recent follow-up. In addition, the ipsilateral knee joint was examined for donor-site morbidity using the Lysholm knee score. Results: 14 patients were evaluated with a mean follow-up of 7 years (range 3–14 years). The mean BMS was 95.1 (range 72–100) points. The ASES score also showed promising results: pain at worst 1.5 (range 0–5) points, pain at rest 0.4 (range 0–5) points, pain lifting loads 2.8 (range 0–8) points, repetitive movement pain 1.5 (range 0–8) points. The range of motion of the injured elbow was free and equal to the contralateral side. Signs of osteoarthritis could be found on plain radiographs in three patients. The MRIs at follow-up showed graft viability in all patients. However, a slight incongruency of the chondral surface could be detected in two patients. The average Lysholm score was 90.9 (range 0–70) points. Conclusions: Osteochondral transplantation in the elbow leads to both clinical and radiographic good-to-excellent mid-term results and therefore represents a reasonable treatment option for advanced osteochondral lesions in the elbow. Level of evidence: Retrospective study; Therapeutic Level IV.
KW - Elbow joint
KW - OATS
KW - Osteochondral lesion
KW - Osteochondral transplantation
KW - Osteochondritis dissecans
UR - http://www.scopus.com/inward/record.url?scp=84940007270&partnerID=8YFLogxK
U2 - 10.1007/s00402-015-2204-z
DO - 10.1007/s00402-015-2204-z
M3 - Article
C2 - 25801812
AN - SCOPUS:84940007270
SN - 0936-8051
VL - 135
SP - 627
EP - 634
JO - Archives of Orthopaedic and Trauma Surgery
JF - Archives of Orthopaedic and Trauma Surgery
IS - 5
ER -