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İs combined acellular collagen matrix and high tibial osteotomy treatment effective in osteochondral defects? Preliminary study
(Alanya Alaaddin Keykubat Üniversitesi, 2017) Konya, Mehmet Nuri; Horata, Erdal; Maralcan, Gökhan; Erten, Abdullah Recep; Turamanlar, Ozan
Aim: In this study, we want to compare clinical andradiological results of 12 patient treated with acellular collagen matrix (ACM)and High Tibial osteotomy-cellular collagen matrix(ACM-HTO) combination.Method: In this study, weevaluated 12 patients with chondral lesion prospectively the years of between2014- 2016 after ethical approval. Cartilage damage was diagnosed with MRI andcartilage degeneration volume was calculated with Mimics medical imageprocessing software and axis deviation was diagnosed with ortho X-ray. Patientswere divided into two groups. ACM only (Group 1) and ACM- HTO (Group 2). Results: ACM only group consists of 5 patients.Preoperative mean of chondral lesion volume was 77.11±137.5 (0.27-321.61).Post-operative mean Knee score was175.20±24.4(150-203) and chondral lesion volume was 0.3±0.03(0-0.8). ACM-HTOgroup consists of 7 patients. Preoperative mean of chondral lesion volume was112.72±239(0.27- 653). Post-operative mean of HSS score was 155±20.4(135-183)and chondral lesion volume was 0.26±0.09(0-0.69).Conclusion: According to theseresults, all patients’ HSS scores and Cartilage volume are increased, but therewere no significant differences were found between two groups.