I Did Not Know That!: Top Nine GPX5 Of The Era
Satisfactory results have been reported in 77% of patients at five years using ICRS, Lysholm, Short Form-36 and Tegner forms39 in both ACI and microfracture groups, while biopsy results at two years40 were unable to demonstrate any significant difference. We performed a Medline? search using the fields ��autologous chondrocyte implantation�� learn more and ��orthopaedic��. This gave 111 articles, of which suitable studies were selected and have been presented in Table 3. Only 3 randomised controlled trials matched our criteria.41 A systematic review looking into 13 studies (917 patients); 3 out of 7 studies showed outcome improvement following ACI in comparison with microfracture. Outcomes between first vs. second generation and open vs. arthroscopic ACI techniques Vorinostat were equivocal, but there were higher complication rates with open, periosteal cover.41 Reported histological outcomes are encouraging. One study following ACI gave the following results; 22%, hyaline, 48% mixed (hyaline and fibrocartilage) and 30% fibrocartilage.42 Evaluation of 62 grafts for isolated femoral condyle and patellar defects at a mean of 7.4 years showed 73% of patients had a hyaline-like appearance at second-look arthroscopy and 67% had hyaline-characteristics at biopsy.43 Our experience also is certainly promising with this technique. We have demonstrated improved outcome with ACI compared with mosaicplasty at a minimum of 10 years follow-up17 and sustained functional improvement over a 9-year follow up with ACI-C and MACI.44 Moreover our histological studies have shown a clear trend towards a more favourable histological outcome with increasing time post-implantation GPX5 while as yet unpublished data suggest that hyaline-like histology is more likely to be associated with a better functional outcome. Several reports from this institution have outlined factors associated with a poor outcome. In a recent publication,45 an elevated body mass index (BMI >25 kg/m2) was related to a significantly lower functional outcome (mean modified Cincinnati score) at 24 months compared to patients with an ideal body weight (BMI