16, 29, 30) Byrd looked at 10 adolescent baseball players who failed conservative measures and had chondroplasty with abrasion arthroplasty performed on the capitellum.
16) Following failed conservative treatment, these patients received abrasion arthroplasty of their OCD lesions.
Surgery consisted of lesion debridement, abrasion arthroplasty, and microfracture, followed by initiation of therapy at 48 to 72 hours and non-weightbearing for 3 months.
Although reliable results exist, there are no good studies comparing fragment fixation with abrasion arthroplasty or microfracture.
The results are an improvement from the studies evaluating abrasion arthroplasty and microfracture; however, the procedure is more invasive, and the rehabilitation is more involved.
Arthroscopic lavage, arthroscopic debridement, spongialization, arthroscopic abrasion arthroplasty, subchondral drilling, microfracture, and carbon-fiber matrix applications promote the development of fibrocartilage.
When we performed arthroscopic procedures including lavage, debridement, abrasion arthroplasty, subchondral drilling, or microfracture, these techniques provided temporary pain relief in short-term followup.
Rand, (3) who followed a group of patients with full-thickness cartilage defects, reported a 77% improvement rate in his debridement group versus a 39% improvement in his abrasion arthroplasty group.
Johnson LL: Arthroscopic abrasion arthroplasty historical and pathological perspective: present status.
Bert JM, Maschka K: The arthroscopic treatment of unicompartmental gonarthrosis: a five-year follow-up study of abrasion arthroplasty plus arthroscopic debridement and arthroscopic debridement alone.