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Microfracture and Hydrogel Scaffolds for the Treatment of Osteochondral Injuries of the Knee: Clinical Results at 4 Ye...
ISSN: 2582 - 6751Publisher: author   
Microfracture and Hydrogel Scaffolds for the Treatment of Osteochondral Injuries of the Knee: Clinical Results at 4 Ye...
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Medical Sciences
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1.3
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International Category Code (ICC):
ICC-1702
Publisher: Athenaeum Scientific Publishers
International Journal Address (IAA):
IAA.ZONE/2582117646751
eISSN
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2582 - 6751
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Abstract
Abstract The aim of this study is to evaluate the outcomes of microfracture technique and novel hydrogel scaffold for the treatment of osteochondral injuries of the knee. Forty-one patients affected by grade III and IV osteochondral lesions were treated between 2014 and 2015 with microfractures followed by the injection of a hydrogel scaffold into the defect. All patients have been evaluated pre-operatively, at 6 months, 1, 2, 3 and 4 years postoperatively (WOMAC and VAS scores). The initial total WOMAC score was reduced by 83% at 6 months, 90% at 12 months and 87% at 4 years. The initial VAS score was reduced by 78% at 6 months, 82% at 12 months and 83% at 4 years. All the scores, including total and sub-scores, statistically improved in all follow-ups compared to preoperative data. Our results showed an improvement of clinical outcomes and pain after the microfractures technique has been combined with the use of a hydrogel scaffold,...