Long-term clinical and radiological outcomes following arthroscopic microfracture of the glenohumeral joint for chondral defects

Abstract

The primary aim of this study was to evaluate mid- and long-term outcomes following microfracture in patients with glenohumeral chondral lesions. This prospective cohort study assessed patients with shoulder pain who were treated with arthroscopic microfracture for full-thickness chondral lesions of the glenohumeral joint. Outcomes included the Simple Shoulder Test at baseline, mid-term (approximately 1 year) and long-term (approximately 10 years), and the Oxford Shoulder Score, shoulder pain (0-10 numerical scale) and radiological assessment using a modified Samilson & Prieto score at long-term follow-up. Data were analyzed with paired t-tests and Wilcoxon's signed rank tests, which were considered significant if P<.05. Twenty-five patients with a mean age of 52.7±12.1 were enrolled. The mean Simple Shoulder Test score improved from baseline to 1 year (6.7±2.5 to 11.0±1.4, P<.001), which was maintained at long-term follow-up (10.3±2.1, P<.001). Additionally, at long-term follow-up, Oxford Shoulder Score and Verbal Pain Score scores were 43±4.8 and 1.1±1.5, respectively while median modified Samilson & Prieto scores increased from 1 preoperatively to 2 at 10 years (P<.001). Patients undergoing microfracture for full-thickness chondral lesions of the glenohumeral joint reported substantial improvements in shoulder pain and function at 1 and 10 years, despite progressive radiological degeneration.