Korkala O, Kuokkanen H
Department of Orthopaedics and Traumatology, University Central Hospital, Helsinki, Finland.
Int Orthop. 1991;15(3):233-7. doi: 10.1007/BF00192300.
Free, autogenous periosteal grafts from the medial metaphysis of the proximal tibia have been used to reconstruct full thickness cartilage defects of the articular surfaces of the knee joint. If there was a bone defect, it was initially filled with cancellous bone graft. The method is illustrated by six patients, three with acute traumatic patellar defects and three with local sclerotic osteochondritis of the medial femoral condyle. The latter had loose fragments unsuitable for fixation and single excision would have left a large and deep defect. The grafts have given satisfactory results, 14 to 59 months after the procedures. Clinical grading of the defects has been monitored by radiographs with arthroscopy of two knees and CT scan of one knee.
取自胫骨近端内侧干骺端的自体游离骨膜移植已被用于重建膝关节表面的全层软骨缺损。如果存在骨缺损，最初用松质骨移植填充。该方法通过6例患者进行说明，其中3例为急性创伤性髌骨缺损，3例为股骨内侧髁局部硬化性骨软骨炎。后者有不适合固定的松动碎片，单次切除会留下大而深的缺损。术后14至59个月，移植取得了满意的结果。通过X线片监测缺损的临床分级，其中两例膝关节进行了关节镜检查，一例膝关节进行了CT扫描。
