The use of a prosthetic inlay resurfacing as a salvage procedure for a failed cartilage repair

• Published in: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Vol. 23; no. 8; pp. 2208 - 2212
• Main Authors: Dhollander, Aad Alfons Maria, Almqvist, Karl Fredrik, Moens, Kris, Vandekerckhove, Pieter-Jan, Verdonk, René, Verdonk, Peter, Victor, Jan
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.08.2015; Springer Nature B.V
• Subjects: Activities of Daily Living; Adult; Arthritis; Cartilage; Cartilage, Articular - injuries; Cartilage, Articular - surgery; Female; Femur - surgery; Follow-Up Studies; Humans; Knee; Knee Prosthesis; Male; Medicine; Medicine & Public Health; Middle Aged; Orthopedics; Osteoarthritis; Patients; Prospective Studies; Prostheses; Quality of Life; Salvage Therapy; Surgery; Visual Analog Scale; Belgium; Knee; Failed cartilage repair; Focal resurfacing
• ISSN: 0942-2056; 1433-7347
• DOI: 10.1007/s00167-014-2999-0

Purpose This study was designed to describe the clinical and radiographical outcome of the HemiCAP ® resurfacing system as a salvage treatment for a failed index cartilage procedure. Methods Fourteen patients were treated consecutively and clinically prospectively followed for a mean period of 26.1 ± 12.8 months. All patients were previously treated for their cartilage lesion. Radiographical data were analysed based on the Kellgren and Lawrence system. Results The patients involved in this study demonstrated a gradual clinical improvement in time. However, radiographically significant osteoarthritic changes were observed during the follow-up period. The position of the HemiCAP ® resurfacing system was adequate in all cases, and no signs of loosening were observed during the follow-up period. Conclusions The HemiCAP ® resurfacing system is feasible as a salvage treatment for a failed index cartilage procedure and resulted in a gradual clinical improvement. However, the favourable clinical outcome was not confirmed by the radiographical findings. Level of evidence IV.