Computerized tomography scan evaluation after fresh osteochondral allograft transplantation of the knee correlates with clinical outcomes
Gelber Ghertner, Pablo Eduardo (Institut Universitari Dexeus)
Ramírez-Bermejo, Eduard (Institut d'Investigació Biomèdica Sant Pau)
Grau-Blanes, Àlex (Institut d'Investigació Biomèdica Sant Pau)
González Osuna, Aránzazu (Institut d'Investigació Biomèdica Sant Pau)
Fariñas Barbera, Oscar (Universitat Autònoma de Barcelona. Banc de Sang i Teixits)
Universitat Autònoma de Barcelona

Data:	2022
Resum:	Purpose: To determine the correlation between the assessment computed tomography osteochondral allograft (ACTOCA) scoring system and clinical outcomes scores. The hypothesis was that the ACTOCA score would show sufficient correlation to support its use in clinical practice. Methods: We prospectively collected data from all consecutive patients who underwent cartilage restitution with fresh osteochondral allograft (FOCA) transplantation for osteochondral lesions of the knee and had a minimum follow-up of two years. CT scans were performed at three, six and 24 months post-operatively. A musculoskeletal radiologist blinded to the patients' medical history evaluated the scans using the ACTOCA scoring system. Clinical outcomes collected preoperatively and at three, six and 24 months postoperatively were evaluated using the International Knee Documentation Committee (IKDC), Kujala, the Western Ontario Meniscal Evaluation Tool (WOMET), and the Tegner Activity Scale. Results: The mean total ACTOCA score showed a statistically significant correlation with the clinical outcome. The correlation was optimal at 24 months. We found a high negative correlation with the IKDC, Kujala and Tegner (- 0. 737; - 0. 757, and - 0. 781 respectively), and a moderate negative correlation with WOMET (- 0. 566) (p < 0. 001). IKDC, Kujala, WOMET, and Tegner scores showed a significant continuous improvement in all scores (p < 0. 001). Conclusion: The mean total ACTOCA score showed a linear correlation with clinical results in IKDC, Kujala, WOMET, and Tegner scores, being the highest at 24 months post-surgery. This finding supports the use of ACTOCA to standardize CT scan reports following fresh osteochondral allograft transplantation in the knee.
Nota:	Altres ajuts: acords transformatius de la UAB
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	International orthopaedics, 2022 , ISSN 1432-5195

DOI: 10.1007/s00264-022-05373-6
PMID: 35411436

7 p, 641.6 KB

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