Assessment results of arthroscopic microfracture for localized full-thickness cartilage defects of the knee in patients of Iraq.

Main Article Content

Dr. Hasan AbdulHadi Mohammed
Dr. Ali Sulaiman M. Saeed
Dr. Mohammed Sameer Abdulateef


KOOS, VAS, microfracture, knee, implementation, questionnaires.


The study was based on the data of Assessment results of arthroscopic microfracture for localized full-thickness cartilage defects of the knee in patients of Iraq. For a group of 100 patients (60 men and 40 women) in the period from 2015 to 2020 based on the orthopedic department of Anbar Hospital in Iraq To assess the structural and anatomical disorders of the cartilage, as well as the functional state of the knee joint, a clinical, functional, and statistical method, the method of scales and questionnaires using: KOOS (Knee Activities Outcomes Survey for Daily Life Scale), Lysholm, pain vas were used. In this study, which aimed to evaluate a clinical trend analysis of patients undergoing microfracture according to KOOS, LYSHOLM, TENGER, PAIN VAS Where the results showed a significant improvement in patients between the ages of 40-50 years, even after five years after surgery, and the clinical scores at 1 and 2 years were higher compared to the results before surgery. It was revealed that advancing age leads to the presence of arthritis and that over time, the survival rate increases with a percentage. 2% of patients over 60 years of age

Abstract 130 | pdf Downloads 50 PDF Downloads 121 XML Downloads 7 HTML Downloads 17


1. J.R. Steadman, K.K. Briggs, J.J. Rodrigo, M.S. Kocher, T.J. Gill, W. G. Rodkey Outcomes of microfracture for traumatic chondral defects of the knee: average 11-year follow-up
2. Steadman, J.R., Karas, S. G. and Schlegel, T.F., 2003. The Microfracture Technique in the Treatment of. The journal of knee surgery, 16 (2), pp. 83-6.
3. Knutsen, G., Engebretsen, L., Ludvigsen, T. C., Drogset, J. O., Grøntvedt, T., Solheim, E., Strand, T., Roberts, S., Isaksen, V. and Johansen, O., 2004. Autologous chondrocyte implantation compared with microfracture in the knee: a randomized trial. JBJS, 86 (3), pp. 455-464.
4. Kreuz, Peter Cornelius, Matthias Steinwachs, Max Edlich, Tim Kaiser, Jörg Mika, Andreas Lahm, and Norbert Südkamp. "The anterior approach for the treatment of posterior osteochondral lesions of the talus: comparison of different surgical techniques." Archives of orthopaedic and trauma surgery 126, no. 4 (2006): 241-246.
5. Kaneshiro, N., Sato, M., Ishihara, M., Mitani, G., Sakai, H., Kikuchi, T. and Mochida, J., 2007. Cultured articular chondrocyte sheets for partial-thickness cartilage defects utilizing temperature-responsive culture dishes. European Cells & Materials, 13, pp.87-92.
6. Davies-Tuck, M.L., Wluka, A. E., Wang, Y., Teichtahl, A. J., Jones, G., Ding, C. and Cicuttini, F. M., 2008. The natural history of cartilage defects in people with knee osteoarthritis. Osteoarthritis and Cartilage, 16 (3), pp. 337-342.
7. Merx, H., Dreinhöfer, K.E. and Günther, K.P., 2007. Socioeconomic relevance of osteoarthritis in Germany. Zeitschrift fur Orthopadie und Unfallchirurgie, 145 (4), pp. 421-429.
8. Henn III, R.F. and Gomoll, A.H., 2011. A review of the evaluation and management of cartilage defects in the knee. The Physician and sports medicine, 39 (1), pp. 101-107.
9. Fritz, J., Janssen, P., Gaissmaier, C., Schewe, B. and Weise, K., 2008. Articular cartilage defects in the knee—basics, therapies, and results. Injury, 39 (1), pp. 50-57.
10. Gomoll, A.H., Farr, J., Gillogly, S.D., Kercher, J., and Minas, T., 2010. Surgical management of articular cartilage defects of the knee. JBJS, 92 (14), pp. 2470-2490.
11. Mithoefer K, Gill TJ, Cole BJ, Williams RJ, Mandelbaum BR (2010) Clinical outcome and return to competition after microfracture in the athlete’s knee: an evidence-based systematic review. Cartilage 1 (2):113–120. doi:10.1177/1947603510366576
12. Gudas R, Stankevicius E, Monastyreckiene E, Pranys D, Kalesinskas RJ. Osteochondral autologous transplantation versus microfracture for the treatment of articular cartilage defects in the knee joint in athletes. Knee Surg Sports Traumatol Arthrosc. 2006; 14:834–842. doi: 10.1007/s00167-006-0067-0.
13. Miller BS, Steadman JR, Briggs KK, Rodrigo JJ, Rodkey WG. Patient satisfaction and outcome after microfracture of the degenerative knee. J Knee Surg. 2004;17 (1):13–17.
14. Kreuz PC, Erggelet C, Steinwachs MR, Krause SJ, Lahm A, Niemeyer P, et al. Is microfracture of chondral defects in the knee associated with different results in patients aged 40 years or younger? Arthroscopy. 2006;22 (11):1180–1186. doi: 10.1016/j.arthro.2006.06.020.
15. Mithoefer K, Williams RJ, Warren RF, Potter H, Spock C, Jones E, et al. The microfracture technique for the treatment of articular cartilage lesions in the knee. A prospective cohort studies. J Bone Joint Surg Am. 2005; 87:1911–1920. doi: 10.2106/JBJS.D.02846. [PubMed] [CrossRef] [Google Scholar]
16. Asik M, Ciftci F, Sen C, Erdil M, Atalar A. The microfracture technique for the treatment of full-thickness articular cartilage lesions of the knee: midterm results. Arthroscopy. 2008; 24:1214–1220. doi: 10.1016/j.arthro.2008.06.015. [PubMed] [CrossRef] [Google Scholar]