Turhan AU, Açıl S, Gül O, Öner K, Okutan AE, Ayas MS. Treatment of knee osteochondritis dissecans with autologous tendon transplantation: Clinical and radiological results. World J Orthop 2021; 12(11): 867-876 [PMID: 34888147 DOI: 10.5312/wjo.v12.i11.867]
Corresponding Author of This Article
Muhammet Salih Ayas, MD, Assistant Professor, Doctor, Department of Orthopedics and Traumatology, Erzurum Regional Training and Research Hospital, Çat Yolu Cad., Erzurum 25070, Turkey. muhammetsalihayas@yahoo.com.tr
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Nov 18, 2021; 12(11): 867-876 Published online Nov 18, 2021. doi: 10.5312/wjo.v12.i11.867
Treatment of knee osteochondritis dissecans with autologous tendon transplantation: Clinical and radiological results
Ahmet Uğur Turhan, Sezgin Açıl, Orkun Gül, Kerim Öner, Ahmet Emin Okutan, Muhammet Salih Ayas
Ahmet Uğur Turhan, Kerim Öner, Department of Orthopedics and Traumatology, Karadeniz Technical University Faculty of Medicine, Trabzon 61080, Turkey
Sezgin Açıl, Department of Orthopedics and Traumatology, Tirebolu State Hospital, Giresun 28100, Turkey
Orkun Gül, Department of Orthopedics and Traumatology, Medical Park Trabzon Hospital, Trabzon 61080, Turkey
Ahmet Emin Okutan, Department of Orthopedics and Traumatology, Samsun Training and Research Hospital, Samsun 55100, Turkey
Muhammet Salih Ayas, Department of Orthopedics and Traumatology, Erzurum Regional Training and Research Hospital, Erzurum 25070, Turkey
Author contributions: Ayas MS, Turhan AU, Açıl S, Gül O, Öner K and Okutan AE designed the research study; Ayas MS, Turhan AU, Açıl S, Gül O, Öner K and Okutan AE performed the research, analyzed the data and wrote the manuscript; All authors have read and approve the final manuscript.
Institutional review board statement: This study was approved by the institutional review board of our hospital.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest.
Data sharing statement: The participants gave informed consent for data sharing.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Muhammet Salih Ayas, MD, Assistant Professor, Doctor, Department of Orthopedics and Traumatology, Erzurum Regional Training and Research Hospital, Çat Yolu Cad., Erzurum 25070, Turkey. muhammetsalihayas@yahoo.com.tr
Received: June 17, 2021 Peer-review started: June 17, 2021 First decision: July 28, 2021 Revised: July 28, 2021 Accepted: September 16, 2021 Article in press: September 16, 2021 Published online: November 18, 2021
ARTICLE HIGHLIGHTS
Research background
This research was initiated by being inspired by the article titled "Treatment of osteochondral defects with tendon autografts in a dog knee model" made in 1999 and the articles titled "Tendon regeneration: an anatomical and histological study in sheep" published in 2004.
Research motivation
Our teacher Ahmet Uğur Turhan's interest in joint surgery and his publications in 1999-2004 inspired him.
Research objectives
In order to protect the knee joint, the authors share the new technique with the world, and share the results with the world and to inspire new publications.
Research methods
A report of multiple patients with the same treatment, but no control group or comparison group.
Research results
All parameters of the knee injury and osteoarthritis outcome score (KOOS) score improved significantly in all patients. Patients with lesions less than 4 cm2 had a significantly better overall KOOS than patients with lesions greater than 4 cm2.
Research conclusions
Autologous tendon transplantation has satisfactory clinical and radiological results in patients with osteochondral lesions of the knee.
Research perspectives
The autologous tendon transplantation is a single-step, safe, simple, cost-effective method for the treatment of knee osteochondritis dissecans with satisfactory.
