TABLE 4.
K-L Score | Defect Size, cm2 | KOOS | |||||
---|---|---|---|---|---|---|---|
Surgery | Age, y | Localization | Baseline | 2 y | Comments | ||
Clinical failure | |||||||
ACI-C | 31 | MFC | 0 | 1.2 | 44.0 | 35.7 | Diagnosed with fibromyalgia and possible ankylosing spondylitis postsurgery. Receives disability benefits. |
ACI-C | 33 | MFC | 0 | 3.1 | 68.5 | 47.6 | Got pregnant shortly after primary surgery. |
ACI-C | 51 | MFC and trochlea |
3 | 4.2 and 0.8 | 82.7 | 52.4 | MRI 1 y after surgery showed major degenerative changes. |
AMIC | 44 | Trochlea and MFC |
2 | 7.5 and 4.8 | 67.3 | 60.7b | Rearthroscopy 17 mo after surgery. Minimal regeneration cartilage and osteophyte formation in the middle of the trochlear defect. Debrided with bone cutter. Good filling of medial condyle defect. |
AMIC | 35 | MFC | 2 | 3.8 | 97.0 | 88.7 | PCL insufficient when tested by arthroscopy at primary surgery. Not addressed. Satisfied at 1 y, but result had deteriorated at 2 y. |
AMIC | 38 | MFC | 0 | 2.0 | 70.8 | 68.5 | Rearthroscopy within 1 y. Good filling of the defect. At 2 y, under evaluation for fibromyalgia. |
Hard failure | |||||||
AMIC | 55 | MFC | 2 | 6.0 | 26.2 | 26.2b | Not satisfied at last follow-up after knee replacement. |
AMIC | 39 | Trochlea | 2 | 5.0 | 33.9 | 67.3b | Lacking information after the knee replacement. |
aACI-C, collagen-covered autologous chondrocyte implantation; AMIC, autologous matrix-induced chondrogenesis; K-L, Kellgren Lawrence; KOOS, Knee injury and Osteoarthritis Outcome Score; MFC, medial femoral condyle; MRI, magnetic resonance imaging; PCL, posterior cruciate ligament.
bOne-year data carried forward.