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Your search keyword '"Zaffagnini, Stefano"' showing total 3 results
Start Over Author "Zaffagnini, Stefano" Search Limiters Peer Reviewed Topic meniscectomy Journal international orthopaedics
3 results on '"Zaffagnini, Stefano"'

1. Meniscal allograft transplantation, anterior cruciate ligament reconstruction, and valgus high tibial osteotomy for meniscal-deficient, unstable, and varus knees: surgical technique and clinical outcomes.

Author

Zaffagnini, Stefano, Romandini, Iacopo, Filardo, Giuseppe, Dal Fabbro, Giacomo, and Grassi, Alberto

Subjects
*ANTERIOR cruciate ligament surgery, *MENISCECTOMY, *OPERATIVE surgery, *HOMOGRAFTS, *OSTEOTOMY, *TREATMENT effectiveness, *SURGICAL complications
Abstract

Purpose: The aim of this study was to determine the clinical and functional outcome of a salvage surgical approach with the combined procedures meniscal allograft transplantation (MAT), anterior cruciate ligament reconstruction (ACLR), and high tibial osteotomy (HTO), in a cohort of patients treated for complex knee lesions evaluated up to a mid-term follow-up. Methods: Eight patients (38.8 ± 4.6 years, 88% males) were treated arthroscopically with MAT without bone plugs combined with primary or revision ACLR and HTO and evaluated at basal, at a minimum of two years (short follow-up), and at a mean follow-up of 5.1 years (mid-term follow-up) with the VAS score for pain, Lysholm score, IKDC subjective score, WOMAC Osteoarthritis index, and Tegner score. Physical examination (Lachman and pivot-shift tests, arthrometer assessment) and radiographic evaluation (pre- and post-operative x-rays) were obtained. Complications and failures were also recorded. Results: A statistically significant improvement was observed from baseline to five years in all clinical scores. In particular, the IKDC subjective score improved from 33.3 ± 20.7 to 73.1 ± 18.4 at short follow-up (p < 0.05), up to 78.3 ± 9.8 at the final follow-up (p < 0.05). A similar trend was demonstrated with the Lysholm, VAS, WOMAC, and Tegner score, even though only one patient reached the pre-injury activity level. Two patients had a worsening of the Kellgren-Lawrence (KL) grade from preoperative (grade 1) to final follow-up (grade 2). No major complications and surgical failures were documented. Conclusion: The combined procedure of MAT, ACLR, and HTO presents few complications and failures and showed to be a valid option to reduce pain, recover knee function, and slow down the osteoarthritis process even in complex patients, with good and stable results up to a mid-term follow-up. [ABSTRACT FROM AUTHOR]

Published
2023
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3. Clinical outcomes and complications of a collagen meniscus implant: a systematic review

Author

Maurilio Marcacci, Stefano Zaffagnini, Andrea Benzi, Alberto Grassi, Giulio Maria Marcheggiani Muccioli, Grassi, Alberto, Zaffagnini, Stefano, Marcheggiani Muccioli, Giulio Maria, Benzi, Andrea, and Marcacci, Maurilio

Subjects
Adult, Male, medicine.medical_specialty, Biologic, Meniscu, Knee Joint, Treatment outcome, chemical and pharmacologic phenomena, Knee Injuries, Meniscus (anatomy), Menisci, Tibial, complex mixtures, Treatment failure, Scaffold, Tissue Scaffold, Tissue scaffolds, parasitic diseases, medicine, Humans, Orthopedics and Sports Medicine, Treatment Failure, Meniscectomy, Knee Injurie, Anterior Cruciate Ligament Reconstruction, Tissue Scaffolds, Clinical outcome, business.industry, Medicine (all), bacterial infections and mycoses, Osteotomy, Surgery, Collagen meniscus implant, Treatment Outcome, medicine.anatomical_structure, Orthopedic surgery, Female, Collagen, Implant, Complication, business, therapeutics, Human
Abstract

PURPOSE: The purpose of this systematic review was to summarise and evaluate the clinical outcomes of the collagen meniscus implant (CMI) and its complication and failure rates. These data were then used to evaluate the results of the CMI at different follow-up time periods and investigate possible differences in the behaviour of lateral and medial CMI. METHODS: A comprehensive search was performed in PubMed, MEDLINE, CINAHL, Cochrane, EMBASE and Google Scholar databases using various combinations of the following keywords: "collagen meniscus implant" or "collagen meniscal implant". All studies evaluating medial or lateral CMI using the Lysholm score, visual analogue scale (VAS) for pain, Tegner activity scale and subjective or objective International Knee Documentation Committee (IKDC) scores were included in the systematic review. RESULTS: Eleven studies were included in the systematic review. The pooled number of patients involved in CMI surgery were 396 (90.2 % medial, 9.8 % lateral), with a mean age at surgery of 37.8 years. Concomitant procedures were present in 48.8 % of patients; most of them were anterior cruciate ligament (ACL) reconstruction, high tibial osteotomy (HTO) and microfractures. The Lysholm score and VAS for pain showed an improvement at six months up to ten years. No noticeable differences were present comparing short-term values of Lysholm score between medial and lateral CMI. The Tegner activity level reached its peak at 12 months after surgery and showed a progressive decrease through five and ten years post CMI implantation, however always remaining above the pre-operative level. Only a few knees were rated as "nearly abnormal" or "abnormal" at IKDC grading at all follow-up evaluations. CONCLUSIONS: The CMI could produce good and stable clinical results, particularly regarding knee function and pain, with low rates of complications and reoperations.

Published
2014

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