Patient satisfaction and outcome after microfracture of the degenerative knee.

摘要: Satisfaction and functional outcome was measured in 81 patients who were treated arthroscopically with microfracture for isolated degenerative lesions of the knee. Average patient age 49 years (range: 40-70 years) average lesion 229.5 mm2 25-2000 mm2). Patients evaluated at 2.6-year follow-up 2-5 years). All subjective parameters (pain, swelling, limping, walking, stairs, sport level, activities daily living) demonstrated significant improvement over preoperative status (P<.003). Lysholm score improved from 53.8 to 83.1 (P<.001), mean Tegner Activity Scale 2.9 4.5 (P<.05). No association noted between gender or age. Significant all three knee compartments. Thirteen required repeat arthroscopy within 5 initial lysis adhesions. Five revision a previously total arthroplasty an 23 months 5-36 months) microfracture. Microfracture is efficacious surgical option treatment chondral The modest rate failure need arthroscopic adhesions reflects challenge joint-sparing surgery