Pregledni rad
https://doi.org/10.26800/LV-145-supl1-26
AutoCart – minimally invasive method of treatment osteochondral lesions in children and adolescents
Klaudio Pjer Milunović
orcid.org/0000-0002-2650-531X
; Klinika za dječju kirurgiju, Klinički bolnički centar Split
Jakov Meštrović
Tomislav Barić
Davor Todorić
Miro Jukić
Jakov Todorić
Zenon Pogorelić
Sažetak
Introduction: AutoCart is a new method of treating osteochondral lesions of the musculosceletal system. The purpose of this review article is to present the indications and results of this method in treatment of the pediatric population. Materials and methods: This article presents six patients treated with the AutoCart in the period from March 2022. to January 2023. All patients had symptomatic lesions of the third and fourth degree of the knee and talus. Lesions on the knee were treated arthroscopically, and lesions on the talus were operated with open method. The results of the treatment were evaluated by a questionnaire that assessed the quality of life
before and after the operation. The pain scale before and after surgery was also evaluated as an important indicator of the success of this treatment method. Results: The average age of the patients was 13.6. year. Three patients (50%) were male, and three (50%) were female. Three patients (50%) had a talus lesion as well as a knee lesion (50%). In four patients there was a clear mechanism of injury (66%), and two patients were without a clear mechanism (33%). The median time from symptoms to surgery was 6.6 months for the knee and 7.3 months for the talus. The quality of life in patients before surgery was 7.67, and after surgery was 1.00. Conclusions: This
treatment method with a properly set indication shows significant clinical and subjective improvement. It also provides an excellent cost benefit compared to the transplant of cultured cartilage because it is performed in one act. Considering this being new treatment method, more time is needed for a more detailed evaluation of this surgical method.
Ključne riječi
AUTOCART; OSTEOHONDRAL LESION; PEDIATRIC; ARTROSCOPIC
Hrčak ID:
300851
URI
Datum izdavanja:
17.4.2023.
Posjeta: 938 *