Profilaksa DVT kod velikih ortopedskih operacija - Depol ...

20 - 22 September 2012, Opatija, Croatia
PREVALENCEOF THE CHONDRAL DEFECTS: A RETROSPECTIVE
STUDY OF 1000 KNEE ARTHROSCOPIES
Miroslav Hašpl, Special Hospital for Orthopaedic Surgery AKROMION, Krap inske Toplice, Croatia
Denis Tršek, Special Hospital for Orthopaedic Surgery AKROMION, Krap inske Toplice, Croatia
Borna Strahonja, Special Hospital for Orthopaedic Surgery AKROMION, Krap inske Toplice, Croatia
PURPOSE: To determine the prevalence of chondral defects during knee arthroscopy.
METHODS: We performed retrospective analysis of cartilage lesions in 1000 knee joints treated at our institution
during 2010 and 2011 year.In all cases was performed arthroscopy for various indications. Age of our patients was
44 (13-80) years. Males 629 (62.9%) and females 371 (37.1%). Chondral lesions are analyzed by location and classification
according to ICRS (International Cartilage Repair Society).
RESULTS: One or more chondral lesions had 679 (67.9%) knees. Chondral lesions were most often associated with
other disease and were not primary indication for arthroscopy. Rupture of the medial meniscus we found at 645
knees, lateral meniscusat 260, anterior cruciate ligament rupture at 286, parapatellarplicasyndroms in 58, patellofemoral
instability in 26 patients, different etiology of synovitis at 33, stiff knee at 24, and of patellar enthesitis
(jumpre’s knee) at 10 and other diseases and injuries at 24 knees (intrarticular tumors, intraarticular fractures,
osteochondriotisdissecans etc.)
Chondral patellar lesions were found in 436 knees (9.4% I; 25.7% II; 6.6% III; 1.9% IV degree ), at trochlear femoral
part in 270 knees (1.5% I ; 7.3% II; 10.5% III; 8.3% IV degree), at medial femoral condyle in 448 (3.3% I; 17.0% II;
11.4% III; 13.1% IV degree), lateral femoral condyle in 120 (1.1 I; 4.1% II; 2.5% III; 4.3% IV degree),medial tibial
condyle in 117 (2.3% I; 4.1% II; 2.2% III; 3.1% IV degree) and the lateral tibial condyle in 131 patients (2.9% I; 6.2%
II;2.1% II; 1.9% IV degree).
In 498 (49.8%) knees underwent one or more surgical procedures on chondral lesions at one or more locations.
Chondral debridemente was done on 437 (43.7.0%) knees, microfracture in 151 (15.1%) knees, mozaikplasty on 4
(0.4%) and on 9 (0.9%) knees intraarticular osteosynthesis for osteochondral lesions.
CONCLUSION: The present study shows that cartilage lesion is the most common finding during knee arthroscopy.
Mostcartilagedamagewas found on medialcondyleof the femurandthepatella. Fourth degree of damageismost
commonon themedialfemoralcondyle. In many cases surgery is required in such a damaged cartilage, especially
the fourth grade.
Oral
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