Early Complication Rates Are Equivalent Between Isolated Cartilage Restoration and Concomitant Cartilage Restoration and Osteotomy of the Knee

Objective Realignment osteotomy performed concomitantly with cartilage restoration typically requires early restricted weightbearing and can add significant morbidity, potentially leading to an increased risk of early perioperative complications. The purpose of this study was to compare the 30-day c...

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Bibliographic Details
Published in:Cartilage 2024-06, Vol.15 (2), p.94-99
Main Authors: Bohlen, Hunter, Karasavvidis, Theofilos, Wen, Deborah, Wong, Francis K.L., Wang, Dean
Format: Article
Language:English
Subjects:
Adult
Cartilage, Articular - surgery
Chondrocytes - transplantation
Clinical Research
Female
Humans
Knee Joint - surgery
Male
Middle Aged
Osteotomy - adverse effects
Osteotomy - methods
Osteotomy - statistics & numerical data
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Retrospective Studies
Transplantation, Autologous - adverse effects
Transplantation, Autologous - methods
Transplantation, Autologous - statistics & numerical data
Young Adult
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Summary:Objective Realignment osteotomy performed concomitantly with cartilage restoration typically requires early restricted weightbearing and can add significant morbidity, potentially leading to an increased risk of early perioperative complications. The purpose of this study was to compare the 30-day complication rates after isolated cartilage restoration (ICR) versus concomitant cartilage restoration and osteotomy (CRO) using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. Design NSQIP registries between 2006 and 2019 were queried using Current Procedural Terminology codes to identify patients undergoing ICR (autologous chondrocyte implantation, osteochondral autograft transfer, or osteochondral allograft transplantation) and CRO (with concomitant high tibial osteotomy, distal femoral osteotomy, and/or tibial tubercle osteotomy). Complications rates between treatment groups were compared using multivariate logistic regression analyses adjusted for sex, age, steroid use, and respiratory status. Results A total of 773 ICR and 97 CRO surgical procedures were identified. Mean patient ages were 35.9 years for the ICR group and 31.2 years for the CRO group. Operative time was significantly longer in the CRO group (170.8 min) compared with the ICR group (97.8 min). Multivariate analysis demonstrated no significant differences in rates of PE, VTE, and all-cause readmission between the ICR and CRO groups. No events of wound disruption, SSI and reoperation were found in the CRO group, while the ICR group was characterized by low rates of wound disruption, reoperation, and SSI (
ISSN:1947-6035
1947-6043
1947-6043
DOI:10.1177/19476035231194769