RESEARCH ARTICLE
Dynamic Postural Stability after Cartilage Repair in the Knee
Justus Gille1, *, Valentin Körner1, Ralf Oheim2, Andreas Paech1, Hagen Mittelstädt1, Arndt-Peter Schulz3, Jan Schagemann4
Article Information
Identifiers and Pagination:
Year: 2022Volume: 16
E-location ID: e187432502206300
Publisher ID: e187432502206300
DOI: 10.2174/18743250-v16-e2206300
Article History:
Received Date: 6/11/2022Revision Received Date: 16/3/2022
Acceptance Date: 12/4/2022
Electronic publication date: 30/08/2022
Collection year: 2022
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background:
Articular cartilage has an exceptionally poor capacity for healing, but Autologous Matrix Induced Chondrogenesis is a procedure with a substantial body of literature that demonstrates its performance in chondral and osteochondral repair. However, data concerning dynamic postural stability after cartilage repair procedures is lacking.
Objective:
Therefore, the present study was designed to assess postural stability following cartilage repair in the knee.
Methods:
20 adults had undergone Autologous Matrix Induced Chondrogenesis for the treatment of full-thickness cartilage defects, with minimum 36 months of follow-up. Clinical outcomes were evaluated by patient reported outcome measures while dynamic postural stability was assessed using the star excursion balance test. The untreated, contralateral limbs served as controls.
Results:
At a mean follow-up of 43 months, patients reported a Visual Analog Score for pain of 1.6±2.2, a mean Lysholm score of 78.5±17.9 and a mean Knee Osteoarthritis Outcome Score of 143.3±16.1. The star excursion balance test showed no significant difference between limbs.
Conclusion:
With no difference in dynamic postural stability, our results indicate that this treatment provides a positive clinical outcome, with no deficits in postural stability when compared to the contralateral, untreated leg.
