Hyalin kıkırdak defektlerinin tedavisi için BST-CarGel® ve Hyalofast'in karşılaştırılması

¹Giresun Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Giresun / Türkiye
²Giresun Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Giresun / Türkiye

GİRİŞ ve AMAÇ: Medial femoral kondilde hyalin kıkırdak defekti olan hastaların mikrokırık ile tedavisinde, skafold olarak BST-CarGel® veya hyalofast kullanımının klinik ve radyolojik sonuçlarını değerlendirmek.
YÖNTEM ve GEREÇLER: Mikrokırık cerrahisine skafold olarak BST-CarGel® ya da hyalofast eklenen toplam 12 hasta değerlendirildi. Klinik olarak WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) skoru, radyolojik olarak AMADEUS (Area Measurement And DEpth & Underlying Structures) skoru ile defektin dolmasını değerlendirdik.
BULGULAR: Ortalama yaş 49.66 ± 6.31 ve ortalama takip süresi 21.75 ± 7.72 ay idi. Ameliyat bitiminde 7 hastaya BST-CarGel®, 5 hastaya ise hyalofast eklenmişti. Womac skorunda, radyolojik AMADEUS skorunda ve defekt dolumunda iyileşme ameliyat öncesine göre istatistiksel olarak anlamlıydı (p <0.001). Skafold olarak BST-CarGel® veya hyalofast kullanılan hastalar kendi aralarında karşılaştırıldıklarında klinik ve radyolojik açıdan istatistiki olarak anlamlı bir fark yoktu.
TARTIŞMA ve SONUÇ: Mikrokırık cerrahisinde skafold olarak olarak BST-CarGel® veya hyalofast eklemek, kıkırdak defektlerinin tedavisinde güvenli ve faydalıdır.

Anahtar Kelimeler:

Comparing the BST-CarGel® and Hyalofast for treatment of hyaline cartilage defects

¹University of Giresun, Assistant Professor, School of Medicine, Department of Orthopaedics and Traumatology, Giresun/Turkey
²University Of Giresun, School Of Medicine, Department Of Orthopaedics And Traumatology, Giresun/turkey

INTRODUCTION: We aim to evaluate the clinical and radiological results of patients with medial femoral condyl defect who were treated with microfracture technique those added BST-CarGel® or hyalofast as a scaffold at the end of surgery.
METHODS: A total of 12 patients evaluated who were undergone microfracture surgery those added BST-CarGel® or hyalofast as a scaffold. We clinically evaluated the WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) score, radiologically evaluated AMADEUS (Area Measurement And DEpth & Underlying Structures) score and defect filling.
RESULTS: The mean age was 49.66±6.31 and mean follow-up time was 21.75±7.72 months. Seven patients were added BST-CarGel® and 5 were hyalofast at the end of surgery. The improvement of womac score, radiological AMADEUS score and defect filling were statistically significant compared to preoperative (p<0.001). There was not any difference in terms of clinically and radiologically between BST-CarGel® or hyalofast used patients.
DISCUSSION AND CONCLUSION: Microfracture treatment and to add BST-CarGel® or hyalofast scaffolds at the end of surgery is safe and helpful for cartilage defects.

Keywords:

Kürşad Aytekin, Cem Zeki Esenyel. Comparing the BST-CarGel® and Hyalofast for treatment of hyaline cartilage defects. Pamukkale Univ Muh Bilim Derg. 2021; 37(4): 217-222

Sorumlu Yazar: Kürşad Aytekin, Türkiye