Kellett Catherine F, Boscainos Petros J, Gross Allan E
University of Toronto, Division of Orthopaedic Surgery, Mount Sinai Hospital, 600 University Avenue, Suite 476A, Toronto, Ontario M5S 1X5, Canada.
Expert Rev Med Devices. 2006 Sep;3(5):585-93. doi: 10.1586/17434440.3.5.585.
Cartilage and osteochondral defects of the knee can in most cases be treated with total knee replacement in the elderly population. However, these lesions pose a difficult treatment problem in the younger patient. A number of surgical options are available today to address this increasingly common condition and each has its own indications and limitations. This article reviews debridement and microfracture, fixation, metallic spacing devices, autologous chondrocyte implantation, osteochondral autograft transplantation, fresh cadaveric allografts and osteotomies. In addition, possible future developments are discussed.
在大多数情况下，膝关节的软骨和骨软骨缺损在老年人群中可通过全膝关节置换术进行治疗。然而，这些损伤在年轻患者中构成了一个棘手的治疗难题。如今有多种手术选择可用于处理这种日益常见的病症，每种方法都有其自身的适应症和局限性。本文回顾了清创术和微骨折术、固定术、金属间隔装置、自体软骨细胞植入、骨软骨自体移植、新鲜尸体同种异体移植和截骨术。此外，还讨论了未来可能的发展。
