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

Keszég, Miklós Attila and Hangody, László and Egyed, Zsófia and Tóth, Gergő and Pánics, Gergely (2022) Long-term (10-25 years) outcomes of knee osteochondral autologous transplantation in soccer players. Journal of Cartilage & Joint Preservation, 2 (2). No.-100062. ISSN 2667-2545

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Abstract

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

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