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1000 Titel
  • Is debridement beneficial for focal cartilage defects of the knee: data from the German Cartilage Registry (KnorpelRegister DGOU)
1000 Autor/in
  1. Weißenberger, Manuel |
  2. Heinz, Tizian |
  3. Boelch, Sebastian P. |
  4. Niemeyer, Philipp |
  5. Rudert, Maximilian |
  6. Barthel, Thomas |
  7. Reppenhagen, Stephan |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-01-22
1000 Erschienen in
1000 Quellenangabe
  • 140(3):373-382
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00402-020-03338-1 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079301/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Introduction!#!Focal cartilage defects of the knee are often treated with arthroscopic debridement. Existing literature discussing the benefit of debridement for small articular cartilage lesions is scarce, especially if the debridement was not part of a combined operative cartilage procedure including meniscal and ligament repair. The purpose of this study was to examine the patients´ benefit after arthroscopic debridement for the treatment of isolated focal chondral defects with or without partial meniscus resection.!##!Materials and methods!#!Baseline (preoperative data) and 12-month follow-up of the five Knee Osteoarthritis Outcome Score (KOOS) subscores and the Numeric Rating Scale (NRS) for pain were analyzed in 126 patients undergoing debridement for focal chondral defects of the knee from the German Cartilage Registry. Sub-analysis for patients receiving isolated debridement and debridement with concomitant partial resection of meniscal pathologies was performed. Thus, four subgroups were created according to the treated defect size and presence of meniscal pathologies: 'debridement-only < 2 cm!##!Results!#!KOOS-subscores showed a significant increase from baseline to follow-up evaluation (p = 0.017-0.037) within the 126 patients. Sub-analysis showed significant improvement of all five KOOS-subscores in all three subgroups, except for the 'debridement and partial meniscus resection > 2 cm!##!Conclusion!#!An overall benefit of arthroscopic debridement for focal cartilage lesions of the knee could be conducted. Isolated cartilage defects seem to benefit from debridement irrespectively of size. In patients with large cartilage defects (> 2 cm
1000 Sacherschließung
lokal Arthroscopic debridement
lokal Debridement/adverse effects [MeSH]
lokal Humans [MeSH]
lokal Knee Joint/surgery [MeSH]
lokal Arthroscopy and Sports Medicine
lokal Menisci, Tibial/surgery [MeSH]
lokal KOOS
lokal Meniscal surgery
lokal Focal cartilage defects
lokal Articular cartilage
lokal NRS
lokal Cartilage, Articular/surgery [MeSH]
lokal Germany [MeSH]
lokal Osteoarthritis
lokal Cartilage Diseases/surgery [MeSH]
lokal Debridement/statistics
lokal Knee surgery
lokal Registries [MeSH]
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0003-3551-3204|https://frl.publisso.de/adhoc/uri/SGVpbnosIFRpemlhbg==|https://frl.publisso.de/adhoc/uri/Qm9lbGNoLCBTZWJhc3RpYW4gUC4=|https://frl.publisso.de/adhoc/uri/TmllbWV5ZXIsIFBoaWxpcHA=|https://frl.publisso.de/adhoc/uri/UnVkZXJ0LCBNYXhpbWlsaWFu|https://frl.publisso.de/adhoc/uri/QmFydGhlbCwgVGhvbWFz|https://frl.publisso.de/adhoc/uri/UmVwcGVuaGFnZW4sIFN0ZXBoYW4=
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1000 Erstellt am 2023-11-17T00:11:45.460+0100
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