Comparing the BST-CarGel® and Hyalofast for treatment of hyaline cartilage defectsKürşad Aytekin1, Cem Zeki Esenyel21University of Giresun, Assistant Professor, School of Medicine, Department of Orthopaedics and Traumatology, Giresun/Turkey 2University Of Giresun, School Of Medicine, Department Of Orthopaedics And Traumatology, Giresun/turkey
INTRODUCTION: We aim to evaluate the clinical and radiological results of patients with medial femoral condyl defect who were treated with microfracture technique those added BST-CarGel® or hyalofast as a scaffold at the end of surgery. METHODS: A total of 12 patients evaluated who were undergone microfracture surgery those added BST-CarGel® or hyalofast as a scaffold. We clinically evaluated the WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) score, radiologically evaluated AMADEUS (Area Measurement And DEpth & Underlying Structures) score and defect filling. RESULTS: The mean age was 49.66±6.31 and mean follow-up time was 21.75±7.72 months. Seven patients were added BST-CarGel® and 5 were hyalofast at the end of surgery. The improvement of womac score, radiological AMADEUS score and defect filling were statistically significant compared to preoperative (p<0.001). There was not any difference in terms of clinically and radiologically between BST-CarGel® or hyalofast used patients. DISCUSSION AND CONCLUSION: Microfracture treatment and to add BST-CarGel® or hyalofast scaffolds at the end of surgery is safe and helpful for cartilage defects.
Keywords: Hyaline cartilage defect, Microfracture, Scaffold, BST-CarGel®, Hyalofast
Hyalin kıkırdak defektlerinin tedavisi için BST-CarGel® ve Hyalofast'in karşılaştırılmasıKürşad Aytekin1, Cem Zeki Esenyel21Giresun Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Giresun / Türkiye 2Giresun Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Giresun / Türkiye
GİRİŞ ve AMAÇ: Medial femoral kondilde hyalin kıkırdak defekti olan hastaların mikrokırık ile tedavisinde, skafold olarak BST-CarGel® veya hyalofast kullanımının klinik ve radyolojik sonuçlarını değerlendirmek. YÖNTEM ve GEREÇLER: Mikrokırık cerrahisine skafold olarak BST-CarGel® ya da hyalofast eklenen toplam 12 hasta değerlendirildi. Klinik olarak WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) skoru, radyolojik olarak AMADEUS (Area Measurement And DEpth & Underlying Structures) skoru ile defektin dolmasını değerlendirdik. BULGULAR: Ortalama yaş 49.66 ± 6.31 ve ortalama takip süresi 21.75 ± 7.72 ay idi. Ameliyat bitiminde 7 hastaya BST-CarGel®, 5 hastaya ise hyalofast eklenmişti. Womac skorunda, radyolojik AMADEUS skorunda ve defekt dolumunda iyileşme ameliyat öncesine göre istatistiksel olarak anlamlıydı (p <0.001). Skafold olarak BST-CarGel® veya hyalofast kullanılan hastalar kendi aralarında karşılaştırıldıklarında klinik ve radyolojik açıdan istatistiki olarak anlamlı bir fark yoktu. TARTIŞMA ve SONUÇ: Mikrokırık cerrahisinde skafold olarak olarak BST-CarGel® veya hyalofast eklemek, kıkırdak defektlerinin tedavisinde güvenli ve faydalıdır.
Anahtar Kelimeler: Hyalin kıkırdak defekti, mikrokırık, Skafold, BST-CarGel®, Hyalofast
Kürşad Aytekin, Cem Zeki Esenyel. Comparing the BST-CarGel® and Hyalofast for treatment of hyaline cartilage defects. . 2021; 37(4): 217-222
Corresponding Author: Kürşad Aytekin, Türkiye |
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