TREATMENT OF FULL THICKNESS ARTICULAR CARTILAGE DEFECTS WITH MICROFRACTURE

Microfracture is a stem cell stimulation technique to promote the healing of full thickness articulate cartilage defects Sixty-six patients have undergone microfracture for full thickness articulate cartilage defects over a five year period. All procedures were performed by one surgeon following the technique of Steadman. All patients were under 46, had an isolated chondral lesion, had a stable well aligned knee and were a minimum of one year post surgery. Patients were evaluated with a preoperative and follow up IKDC score, WOMAC score, KOOS Score, Tegner activity level and SF 36, VAS pain scores and overall knee function score. Failure was determined by the need for a secondary chondral procedure. Nine patients failed. Thus the overall success rate was 86%. The failure rate was higher with larger lesions. There was a significant improvement in IKDC score, WOMAC score, KOOS Score, Tegner activity level and SF 36, VAS pain scores and overall knee function score. Microfracture has a good success rate in the short to medium term with isolated full thickness articular cartilage lesions in the stable well aligned knee.