Surgical treatment of cartilage damage [Operative therapie-möglichkeiten des knorpelschadens]

被引:20
作者
Burkart A.C. [1 ]
Schoettle P.B. [1 ]
Imhoff A.B. [1 ]
机构
[1] Abteilung für Sportorthopädie, Technische Universität München
来源
Der Unfallchirurg | 2001年 / 104卷 / 9期
关键词
Cartilage damage; Chondrocyte transplantation; OATS; Posterior condyle transfer;
D O I
10.1007/s001130170049
中图分类号
学科分类号
摘要
Therapy of cartilage damage is a frequent problem, especially in the young and active patient. For the treatment of a cartilage damage we have to consider the size of the defect, age and weight of the patient, meniscal tears, ligament instabilities and varus-/valgus-malalignment. Lavage, shaving and debridement are only sufficient for a short time and have no long term effect. Abrasio and drilling could be useful in eldery people. Microfracturing seems to be an effective alternative for small defects. The restoration of the cartilage surface with the use of autologous chondrocyte transplantation, osteochondral autograft transplantation and posterior condyle transfer seems to be an adequate treatment for younger patients.
引用
收藏
页码:798 / 807
页数:9
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