Should orthopedic surgeons consider reducing the negative effects of Outerbridge grade 2 patellofemoral chondral lesion on early postoperative recovery during anterior cruciate ligament reconstruction

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dc.authoridHakan Sofu / 0000-0003-0415-4245
dc.authorscopusidHakan Sofu / 55909749900
dc.authorwosidHakan Sofu / DSN-4027-2022
dc.contributor.authorSofu, Hakan
dc.contributor.authorÇamurcu Yalkın
dc.contributor.authorIssin, Ahmet
dc.contributor.authorÜçpunar Hanifi
dc.contributor.authorÖzcan Seçkin
dc.contributor.authorDuman, Serda
dc.date.accessioned2020-08-30T20:01:35Z
dc.date.available2020-08-30T20:01:35Z
dc.date.issued2019
dc.departmentİstinye Üniversitesi, Hastaneen_US
dc.descriptionSofu, Hakan (isu author)
dc.description.abstractPurpose: The purpose of this study was to comparatively evaluate the effectiveness of intra-articular PRP and HA injections applied as the treatment of Outerbridge grade 2 chondral lesions in patellofemoral joint during arthroscopic ACL reconstruction. Methods: The clinical and radiographic data of 61 patients between 18 and 45 years of age were evaluated. The patients were separated into three groups. Hyaluronic acid injection was applied in 22 knees (Group 1), PRP injection was applied in 18 knees (Group 2), and 21 knees did not have any specific treatment except ACL reconstruction (Group 3). All patients were followed clinically at least for 12 months. Clinical examination of the operated knee, visual analogue scale (VAS) score, Lysholm knee score, and Tegner activity scale were the outcome measures. Routine X-ray and MRI were also performed for all patients at 12-month postoperative follow-up visit. Results: Although the mean VAS and Lysholm scores at 3-month follow-up were better in Group 1 and 2 than Group 3, the efficacy of intra-articular PRP on healing process regarding progression of the mean VAS and Lysholm scores through 6- and 12-month follow-ups was significantly better and longer than HA. No statistically significant differences were detected according to Tegner activity scale between the groups at 3 and 6 months; however, Group 2 had better activity level than both Group 1 (p < 0.001) and 3 (p < 0.001) at the end of 12 months after surgery. Conclusion: Intra-articular PRP injection applied as the treatment of concomitant Outerbridge grade 2 chondral lesion in patellofemoral joint during ACL reconstruction revealed better and durable clinical outcomes via decreasing the potentially negative effects of chondral pathology on postoperative healing with respect to HA injection. Level of evidence: III—retrospective comparative study. © 2018, Springer-Verlag France SAS, part of Springer Nature.en_US
dc.identifier.citationSofu, H., Camurcu, Y., Issin, A., Ucpunar, H., Ozcan, S., & Duman, S. (2019). Should orthopedic surgeons consider reducing the negative effects of Outerbridge grade 2 patellofemoral chondral lesion on early postoperative recovery during anterior cruciate ligament reconstruction. European Journal of Orthopaedic Surgery & Traumatology, 29(2), 471-478.en_US
dc.identifier.doi10.1007/s00590-018-2303-yen_US
dc.identifier.endpage478en_US
dc.identifier.issn1633-8065en_US
dc.identifier.issue2en_US
dc.identifier.pmid30219996en_US
dc.identifier.scopus2-s2.0-85053454722en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage471en_US
dc.identifier.urihttps://doi.org/10.1007/s00590-018-2303-y
dc.identifier.urihttps://hdl.handle.net/20.500.12713/308
dc.identifier.volume29en_US
dc.identifier.wosWOS:000728582800030en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorSofu, Hakanen_US
dc.language.isoenen_US
dc.publisherSpringer-Verlag Franceen_US
dc.relation.ispartofEuropean Journal of Orthopaedic Surgery and Traumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnterior Cruciate Ligamenten_US
dc.subjectCartilageen_US
dc.subjectPatellofemoral Jointen_US
dc.titleShould orthopedic surgeons consider reducing the negative effects of Outerbridge grade 2 patellofemoral chondral lesion on early postoperative recovery during anterior cruciate ligament reconstructionen_US
dc.typeArticleen_US

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