Lesion size and varus malalignment are the major determinants leading to poorer clinical outcomes after combined microfracture treatment for focal cartilage lesions during anterior cruciate ligament reconstruction

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dc.authoridGürkan Gümüşsuyu / 0000-0001-8408-9521
dc.authorscopusidGürkan Gümüşsuyu / 55354167600
dc.authorwosidGürkan Gümüşsuyu / EXL-8041-2022
dc.contributor.authorSofu, Hakan
dc.contributor.authorGümüşsuyu, Gürkan
dc.contributor.authorGuler, Olcay
dc.contributor.authorUcpunar, Hanifi
dc.contributor.authorDuman, Serda
dc.contributor.authorCamurcu, Yalkin
dc.date.accessioned2021-09-06T06:17:10Z
dc.date.available2021-09-06T06:17:10Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Sağlık Hizmetleri Meslek Yüksekokulu, İlk ve Acil Yardım Bölümüen_US
dc.description.abstractThe purposes of this study were to evaluate the clinical effects of microfracture (MFX) performed for Outerbridge grade 3 or 4 focal cartilage lesion during the same surgery with arthroscopic anterior cruciate ligament (ACL) reconstruction and to analyze the major determinants of these potential effects on the clinical outcome. The clinical and radiographic data of 119 patients were evaluated. The mean follow-up time was 32.6 +/- 6 months. Isolated arthroscopic ACL reconstruction was performed in 70 patients (Group 1), whereas MFX for Outerbridge grade 3 or 4 chondral lesion during ACL surgery was performed in 49 patients (Group 2). Visual analogue scale (VAS) score, Lysholm knee score, and Tegner activity scale were the instruments used as outcome measures to evaluate the clinical status of the patients. Routine X-ray and MRI were also performed for all patients pre-operatively as well as at the latest follow-up visit. Lineer regression analysis was performed to determine major factors predicting the poorer clinical outcome. Clinical outcomes were similar between isolated ACL reconstruction and combined procedure. On the other hand, according to lineer regression analysis, cartilage lesion size > 2 cm(2) and > 5 degrees of varus alignment were detected as the major determinants leading to poorer outcomes in combined ACL reconstruction and MFX. Level of evidence: III - Retrospective Comparative Study.en_US
dc.identifier.citationSofu, H., Gumussuyu, G., Guler, O., Ucpunar, H., Duman, S., & Camurcu, Y. (2021). Lesion size and varus malalignment are the major determinants leading to poorer clinical outcomes after combined microfracture treatment for focal cartilage lesions during anterior cruciate ligament reconstruction. Archives of Orthopaedic and Trauma Surgery, 1-9.en_US
dc.identifier.doi10.1007/s00402-021-04138-xen_US
dc.identifier.issn0936-8051en_US
dc.identifier.issn1434-3916en_US
dc.identifier.pmid34448044en_US
dc.identifier.scopus2-s2.0-85113522982en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1007/s00402-021-04138-x
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2020
dc.identifier.wosWOS:000689494600001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGümüşsuyu, Gürkan
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCartilage Lesionen_US
dc.subjectMicrofractureen_US
dc.subjectACL Reconstructionen_US
dc.subjectArthroscopyen_US
dc.subjectKnee Ligamentsen_US
dc.titleLesion size and varus malalignment are the major determinants leading to poorer clinical outcomes after combined microfracture treatment for focal cartilage lesions during anterior cruciate ligament reconstructionen_US
dc.typeArticleen_US

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