Evaluation of donor field morbidity after mosaicplasty application in the healthy knee joint

Abstract

Aim: The aim of this study is to investigate the donor site morbidity that develops in patients who received autologous osteochondral grafts from the ipsilateral healthy knee with the Mosaicplasty technique due to talus chondral lesion, to investigate its relationship with age, gender, body mass index, number of grafts and diameter. Material and Method: 20 patients with talus chondral lesion underwent osteochondral transfer from the same-sided healthy knees using the Mosaicplasty technique. The mean age of the patients at surgery was 36.15, mean follow-up time was 25.99 months, mean body mass index was 26.51. The mean graft diameter was 0.87cm, the mean number of grafts was 1.5. Lysholm and VAS scores were evaluated. Kellgren-Lawrance classification was used for radiological changes. Results: Donor site morbidity was observed in a total of 4 patients. Two patients had mild knee pain, one patient had moderate knee pain. It was observed that the number of grafts taken, age, body mass index negatively affected Lysholm scores in the final follow-ups after the surgery, and VAS scores were lower in females. Conclusion: In this study, no symptoms were observed in 80% of patients who harvested ostechondral grefts from their healthy knees. However, it is necessary to keep in mind the potential morbidity that may develop in the healthy knee joint after osteochondral transfer to the talus cartilage lesions, especially due to the low Lysholm scores detected in patients over 40 years of age, with a body mass index ≥25 and who harvested more than one graft.

Keywords

• Articular cartilage lesions
• Donor-site morbidity
• Mosaicplasty
• Osteochondral
• Knee

References

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