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

Knee Surg Sports Traumatol Arthrosc. 2015 Aug;23(8):2208-2212. doi: 10.1007/s00167-014-2999-0. Epub 2014 Apr 22.

Abstract

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.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Cartilage, Articular / injuries
  • Cartilage, Articular / surgery*
  • Female
  • Femur / surgery*
  • Follow-Up Studies
  • Humans
  • Knee Prosthesis*
  • Male
  • Middle Aged
  • Prospective Studies
  • Quality of Life
  • Salvage Therapy*
  • Visual Analog Scale