Autologous matrix-induced chondrogenesis for the treatment of osteochondral lesions of the talus: A systematic review

Επιστημονική δημοσίευση - Άρθρο Περιοδικού uoadl:3103357 19 Αναγνώσεις

Μονάδα:
Ερευνητικό υλικό ΕΚΠΑ
Τίτλος:
Autologous matrix-induced chondrogenesis for the treatment of osteochondral lesions of the talus: A systematic review
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
This study was performed to determine whether Autologous Matrix-Induced Chondrogenesis (AMIC) is an effective and safe treatment option for patients with symptomatic Osteochondral defects of the Talus (OCTs) and to identify factors that influence the clinical outcome. A systematic review of the literature was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Three reviewers independently conducted the literature search using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. The databases were queried using the terms “autologous” AND “matrix” AND “induced” AND “chondrogenesis.” Thirteen studies were eligible for review. All studies that compared the preoperative and postoperative mean values of different clinical/functional scores showed significant clinical improvement. The final postoperative mean Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) score ranged from 50.9 to 74.5. The included studies indicated that age and body mass index may have a detrimental impact on the postoperative outcome. A higher re-intervention rate is expected with the open technique, mainly because of hard-ware removal after malleolar osteotomy. This data analysis demonstrated that both arthroscopic and open AMIC procedures are effective and safe for the treatment of OCTs. Level IV, systematic review of therapeutic studies. © 2020, Page Press Publications. All rights reserved.
Έτος δημοσίευσης:
2020
Συγγραφείς:
Malahias, M.-A.
Kostretzis, L.
Megaloikonomos, P.D.
Cantiller, E.-B.
Chytas, D.
Thermann, H.
Becher, C.
Περιοδικό:
Orthopedic Reviews
Εκδότης:
Page Press Publications
Τόμος:
12
Αριθμός / τεύχος:
4
Σελίδες:
202-209
Λέξεις-κλειδιά:
adult; ankle; article; body mass; cartilage; chondrogenesis; clinical outcome; Cochrane Library; data analysis; female; human; male; Medline; meta analysis; nuclear magnetic resonance; osteotomy; Preferred Reporting Items for Systematic Reviews and Meta-Analyses; preoperative evaluation; systematic review; talus
Επίσημο URL (Εκδότης):
DOI:
10.4081/or.2020.8872
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