The main objective of the research project is to evaluate the results of the treatment of chondromalacia of the cartilage in the knee joint with the use of: autogenous transplantation of fragmented adipose tissue taken from the abdominal wall - (MyStem, Lipogems, Arthrex). PRP GF (platelet-rich plasma with growth factors) (Ycellbio, ACP Arthrex, Neoregen, FrankPharma), Mesenchymal cells centrifuged from bone marrow cells taken from the iliac crest - (Harvest, Arthrex), Hyaluronic acid - low molecular weight (Synvisc, Biolevox, ArtiAidPlus), Hyaluronic acid - cross-linked Arti Aid Plus, Synovial, Durolain, StavOn, Collagen - Guna, Orthokine. The specific objectives are: to compare the results of treatment of analogous zones of cartilage defects in the knee joint obtained in the study groups using two methods: microfractures and microfractures with simultaneous intra-articular injection of autogenous cartilage graft and PRP GF (Auto Cart-Arthrex method). The results for the operated limb in both groups will be compared both between the groups and with the results of clinical and biomechanical tests for the non-operated limbs.
Age range
18 Years – 70 Years
Sex
ALL
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Tegner Activity Level Scale (TAS)
Timeframe: 1 day
Tegner Activity Level Scale (TAS)
Timeframe: 3 months after procedure
Tegner Activity Level Scale (TAS)
Timeframe: 6 months after procedure
Visual Analogue Score (VAS)
Timeframe: 1 day
Visual Analogue Score (VAS)
Timeframe: 3 months after procedure
Visual Analogue Score (VAS)
Timeframe: 6 months after procedure
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Timeframe: 1 day
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Timeframe: 3 months after procedure
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Timeframe: 6 months after procedure
IKDC SUBJECTIVE KNEE EVALUATION FORM
Timeframe: 1 day
IKDC SUBJECTIVE KNEE EVALUATION FORM
Timeframe: 3 months after procedure
IKDC SUBJECTIVE KNEE EVALUATION FORM
Timeframe: 6 months after procedure
Biomechanical examination
Timeframe: 3 months after procedure
Biomechanical examination
Timeframe: 6 months after procedure
Magnetic resonance imaging (MRI) of the knee joint
Timeframe: 6 months after procedure
Ultrasound examination (USG) of the knee joint
Timeframe: 6 months after procedure