|dc.description.abstract||Objectives: The purpose of this study was to analyze the trends in cartilage repair strategies among
Turkish orthopedic surgeons for isolated focal (osteo)chondral lesions of the knee joint.
Materials and methods: A web-based survey of 21 questions consisting of surgical indications, techniques
and time to return to sports was developed to investigate the preferences of members of the TOTBID and
Results: A total of 147 surgeons answered the questionnaire.70% of the respondents were TUSYAD
members. 82% of respondents had at least five years experience in arthroscopy. Half of the surgeons
indicated that patient age of 50 was the upper limit for cartilage repair. Irrespective of activity level,
microfracture (60e67%) was the most frequently used technique for lesions smaller 2.5 cm2
. In lesions
larger than 4 cm2
, MACI was the most commonly advocated procedure (67%). In patients with high
activity levels, mosaicplasty was the first choice (69%) for lesions between 2.5 and 4 cm2 in size, followed
by MACI (27%).
Conclusion: Patient age, activity level, BMI and lesion size were important determinants for the choice of
treatment of isolated chondral lesions in the knee. These results reflect the choices of experienced knee
surgeons in the country. Although not widely performed in Turkey and has limited reimbursement by the
health care system, the first choice for defects over 4 cm2 was second generation ACI. Third party payers
& health reimbursement authorities should take into account that large defects require methods which
are relatively expensive and need high technology. Cross-sectional survey, Level II.
© 2016 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. This is
an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/
|dc.subject||ELMALI N., Tandogan R., Demirel M., BOZKURT M., Beyzadeoglu T., -Cartilage repair strategies in the knee: A survey of Turkish surgeons-, ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, cilt.50, ss.533-538, 2016||
|dc.title||Cartilage repair strategies in the knee: A survey of Turkish surgeons||