Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 24, Issue 11 , Pages 1214-1220 , November 2008

The Microfracture Technique for the Treatment of Full-Thickness Articular Cartilage Lesions of the Knee: Midterm Results

  • Mehmet Asik, M.D.

      Affiliations

    • Medical Faculty of Istanbul, University of Istanbul, Istanbul, Turkey
    • Corresponding Author InformationAddress correspondence and reprint requests to Mehmet Asik, M.D., Istanbul Universitesi Istanbul Tip Fakultesi, Ortopedi ve Travmatoloji Anabilimdali 34390, Topkapi, Istanbul, Turkey
  • ,
  • Feyyaz Ciftci, M.D.

      Affiliations

    • Medical Faculty of Istanbul, University of Istanbul, Istanbul, Turkey
  • ,
  • Cengiz Sen, M.D.

      Affiliations

    • Medical Faculty of Gaziosmanpasa University, Tokat, Turkey
  • ,
  • Mehmet Erdil, M.D.

      Affiliations

    • Medical Faculty of Istanbul, University of Istanbul, Istanbul, Turkey
  • ,
  • Atacan Atalar, M.D.

      Affiliations

    • Medical Faculty of Istanbul, University of Istanbul, Istanbul, Turkey

Received 22 February 2008 ,Accepted 27 June 2008.

References 

  1. Minas T, Nehrer S. Current concepts in the treatment of cartilage defects. Orthopedics. 1997;20:525–538
  2. O'Driscoll SW. Current concepts review (The healing and regeneration of articular cartilage). J Bone Joint Surg Am. 1998;80:1795–1812
  3. Goldberg VM, Caplan AI. Biologic restoration of articular surfaces. Instr Course Lect. 1999;48:623–627
  4. Sgaglione NA, Miniaci A, Gillogy SD, Carter TR. Update on advanced surgical techniques in the treatment of traumatic focal articular cartilage lesions in the knee. Arthroscopy. 2002;18:9–32
  5. Brittberg M, Winalski CS. Evaluation of cartilage injuries and repair. J Bone Joint Surg Am. 2003;85(suppl 2):58–69
  6. Friedman M, Berasi D, Fox J. Preliminary results with abrasion arthroplasty in the osteoarthritic knee. Clin Orthop Relat Res. 1984;200–205
  7. Asik M, Sozen YV, Cetinkaya S, Atalar A, Saglam N. Arthroscopic treatment for arthritis of the knee. Acta Orthop Traumatol Turc. 1995;29:446–450(in Turkish)
  8. Akgun I, Kesmezacar H, Ogut T, Kebudi A, Kanberoglu K. Arthroscopic microfracture treatment for osteonecrosis of the knee. Arthroscopy. 2005;21:834–843
  9. Brittberg M. Autologous chondrocyte transplantation. Clin Orthop Relat Res. 1999;(suppl):147–155
  10. Freedman KB, Fox JA, Cole BJ. Knee cartilage: Diagnosis and decision making. In:  Miller MD,  Cole BJ editor. Textbook of arthroscopy. Philadelphia: WB Saunders; 2004;p. 555–567
  11. Freedman KB, Coe BJ. Microfracture technique in the knee. In:  Miller MD,  Cole BJ editor. Textbook of arthroscopy. Philadelphia: WB Saunders; 2004;p. 575–579
  12. Knutsen G, Engebretsen L, Ludvigsen CT, et al. Autologous chondrocyte implantation compared with microfracture in the knee. J Bone Joint Surg Am. 2004;86:455–464
  13. Marder RA, Hopkins G, Timmerman LA. Arthroscopic microfracture of chondral defects of the knee: A comparison of two postoperative treatments. Arthroscopy. 2005;21:152–158
  14. Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg Br. 1961;43:752–757
  15. Brown W, Potter HG, Marx RG, Wickiewicz TL, Warren RF. Magnetic resonance imaging appearance of cartilage repair in the knee. Clin Orthop Relat Res. 2004;214–223
  16. Lysholm J, Gillquist J. Evaluation of the knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med. 1982;10:150–154
  17. Tegner Y, Lysholm J, Lysholm M, Gillquist J. A performance test to monitor rehabilitation and evaluate anterior cruciate ligament injuries. Am J Sports Med. 1986;14:156–159
  18. Dawson J, Fitzpatrick R, Murray D, Carr A. Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg Br. 1998;80:63–69
  19. Pridie AH. A method of resurfacing osteoarthritic knee joints. J Bone Joint Surg Am. 1959;41:618–619
  20. Frisbie DD, Oxford JT, Southwood L, et al. Early events in cartilage repair after subchondral bone microfracture. Clin Orthop Relat Res. 2003;215–227
  21. Gill TJ, McCulloch PC, Glasson SS, Blanchet T, Morris EA. Chondral defect repair after the microfracture procedure. Am J Sports Med. 2005;33:680–685
  22. Gobbi A, Nunag P, Malinowski K. Treatment of full thickness chondral lesions of the knee with microfractures in a group of athletes. Knee Surg Sports Traumatol Arthrosc. 2005;13:213–221
  23. Gudas R, Kalesinskas RJ, Kimtys V, et al. A prospective randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint in young athletes. Arthroscopy. 2005;21:1066–1075
  24. Mithoefer K, Williams RJ, Warren R, et al. The microfracture technique for the treatment of articular cartilage lesions in the knee: A prospective cohort study. J Bone Joint Surg Am. 2005;87:1911–1920
  25. Steadman JR, Rodkey WG, Rodrigo JJ. Microfracture: Surgical technique and rehabilitation to treat chondral defects. Clin Orthop Relat Res. 2001;(suppl):362–369
  26. Steadman JR, Briggs KK, Rodrigo JJ, Kocher MS, Gill TJ, Rodkey WG. Outcomes of microfracture for traumatic chondral defects of the knee: Average 11-year follow-up. Arthroscopy. 2003;19:477–484
  27. Steadman JR, Miller BS, Karas SG, Schlegel TF, Briggs KK, Hawkins RJ. The microfracture technique in the treatment of full-thickness chondral lesions of the knee in national football league players. Am J Knee Surg. 2003;16:83–86
  28. Kreuz PC, Erggelet C, Steinwechs MR, et al. Is microfracture of chondral defects in the knee associated with different results in patients aged 40 years or younger?. Arthroscopy. 2006;22:1180–1186
  29. Rodrigo JJ, Steadman JR, Silliman JF, Fullstone HA. Improvement of full thickness chondral defect healing in the human knee after debridement and microfracture using continuous passive motion. Am J Knee Surg. 1994;7:109–116

 The authors report no conflict of interest.

PII: S0749-8063(08)00509-4

doi: 10.1016/j.arthro.2008.06.015

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 24, Issue 11 , Pages 1214-1220 , November 2008