Role of Visco-Supplementation Following MicroFracturein Focal Chondral Lesions by Reetadyuti Mukhopadhyay in Orthopedics and Sports Medicine Open Access Journal in Lupine Publishers
Introduction: Cartilage lesions pose a significant problem to surgeons, at best being replaced by poorer quality fibrocartilage post micro-fracture. Hyaluronic acid has shown to inhibit joint degeneration and reduce joint inflammation. This study wishes to evaluate the outcome of visco-supplementation following micro-fracture.
Material & Method: Twenty one consecutive patients with chondral lesion less than 2 sq cm were treated with micro-fracture and post operatively randomly divide into two groups. One group was supplemented with intra-articular hyaluronic acid at 3 weeks post surgery. The patients were followed up at 3, 6 & 12 months for WOMAC score and IKDC score.
Results: The WOMAC score and IKDC score in the visco-supplementation group were significantly better than those of the non visco-supplementation group at 6 months (p=0.0001). At 12 months although the scores were significantly better than at 6 months, there was no significant difference between the two groups (WOMAC p=0.86, IKDC p=0.347).
Conclusion: Hyaluronic supplementations following micro-fracture ensure an early improvement in functional scores following micro-fracture. A longer follow up is necessary to evaluate its role in preventing further joint degeneration.
http://lupinepublishers.com/orthopedics-sportsmedicine-journal/abstracts/role-of-visco-supplementation-following-microfracture-in-focal-chondral-lesions.ID.000102.php
http://lupinepublishers.com/orthopedics-sportsmedicine-journal/pdf/OSMOAJ.MS.ID.000102.pdf
http://lupinepublishers.com/orthopedics-sportsmedicine-journal/fulltext/role-of-visco-supplementation-following-microfracture-in-focal-chondral-lesions.ID.000102.php
Material & Method: Twenty one consecutive patients with chondral lesion less than 2 sq cm were treated with micro-fracture and post operatively randomly divide into two groups. One group was supplemented with intra-articular hyaluronic acid at 3 weeks post surgery. The patients were followed up at 3, 6 & 12 months for WOMAC score and IKDC score.
Results: The WOMAC score and IKDC score in the visco-supplementation group were significantly better than those of the non visco-supplementation group at 6 months (p=0.0001). At 12 months although the scores were significantly better than at 6 months, there was no significant difference between the two groups (WOMAC p=0.86, IKDC p=0.347).
Conclusion: Hyaluronic supplementations following micro-fracture ensure an early improvement in functional scores following micro-fracture. A longer follow up is necessary to evaluate its role in preventing further joint degeneration.
http://lupinepublishers.com/orthopedics-sportsmedicine-journal/abstracts/role-of-visco-supplementation-following-microfracture-in-focal-chondral-lesions.ID.000102.php
http://lupinepublishers.com/orthopedics-sportsmedicine-journal/pdf/OSMOAJ.MS.ID.000102.pdf
http://lupinepublishers.com/orthopedics-sportsmedicine-journal/fulltext/role-of-visco-supplementation-following-microfracture-in-focal-chondral-lesions.ID.000102.php
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