Long-term (10-25 years) outcomes of knee osteochondral autologous transplantation in soccer players

ObjectiveOsteochondral lesions in the knee can occur a high percentage of soccer players. Untreated, symptomatic osteochondral lead to reduced athletic performance, early career-ending, and premature onset osteoarthritis. One treatment options is autologous transplantation with mosaicplasty technique. The study aims investigate long-term outcomes procedure population.DesignIn single-center retrospective study, procedures players between 1992 2011 were investigated. Using International Knee Documentation Committee Bandi score evaluate function, Tegner measure activity, MOCART 2.0 describe cartilage surface. Players' skill level was divided into professional, competitive, recreational groups.ResultsFifty-five out 73 included; 25 had MRI at last follow-up control. average time 17,54 years (10,32-24,91). mean 68.52 ± 16.01 (33-87), 70.8 18.12 (25-95), 80% patient good score. size defects 2,08 cm2 1,19 (1-5 cm2) overall return sport 7,78 2,96 (4-12) months.ConclusionThe has result, no significant decrease functional scores compared other studies even after 20 from surgery. Therefore, reasonable option for small medium-sized knee.