Autologous matrix-induced chondrogenesis for the treatment of osteochondral lesions of the talus: A systematic review

  • Michael-Alexander Malahias International Centre for Hip, Knee and Foot Surgery, ATOS Clinic Heidelberg, Heidelberg, Germany.
  • Lazaros Kostretzis International Centre for Hip, Knee and Foot Surgery, ATOS Clinic Heidelberg, Heidelberg, Germany.
  • Panayiotis D. Megaloikonomos International Centre for Hip, Knee and Foot Surgery, ATOS Clinic Heidelberg, Heidelberg, Germany.
  • Erwin-Brian Cantiller International Centre for Hip, Knee and Foot Surgery, ATOS Clinic Heidelberg, Heidelberg, Germany.
  • Dimitrios Chytas Second Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
  • Hajo Thermann International Centre for Hip, Knee and Foot Surgery, ATOS Clinic Heidelberg, Heidelberg, Germany.
  • Christoph Becher | becher.chris@web.de International Centre for Hip, Knee and Foot Surgery, ATOS Clinic Heidelberg, Heidelberg, Germany. https://orcid.org/0000-0003-2934-386X

Abstract

This study was performed to determine whether Autologous Matrix-Induced Chondrogenesis (AMIC) is an effective and safe treatment option for patients with symptomatic Osteochondral defects of the Talus (OCTs) and to identify factors that influence the clinical outcome. A systematic review of the literature was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Three reviewers independently conducted the literature search using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. The databases were queried using the terms “autologous” AND “matrix” AND “induced” AND “chondrogenesis.” Thirteen studies were eligible for review. All studies that compared the preoperative and postoperative mean values of different clinical/functional scores showed significant clinical improvement. The final postoperative mean Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) score ranged from 50.9 to 74.5. The included studies indicated that age and body mass index may have a detrimental impact on the postoperative outcome. A higher re-intervention rate is expected with the open technique, mainly because of hardware removal after malleolar osteotomy. This data analysis demonstrated that both arthroscopic and open AMIC procedures are effective and safe for the treatment of OCTs. Level IV, systematic review of therapeutic studies.

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References

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Published
2021-01-29
Info
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Section
Reviews
Keywords:
Autologous matrix-induced chondrogenesis; osteochondral lesion; talus; ankle; cartilage repair
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How to Cite
Malahias, M.-A., Kostretzis, L., Megaloikonomos, P. D., Cantiller, E.-B., Chytas, D., Thermann, H., & Becher, C. (2021). Autologous matrix-induced chondrogenesis for the treatment of osteochondral lesions of the talus: A systematic review. Orthopedic Reviews, 12(4). https://doi.org/10.4081/or.2020.8872