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膝关节剥脱性骨软骨炎的治疗算法

Treatment algorithm for osteochondritis dissecans of the knee.

作者信息

Carey James L, Grimm Nathan L

机构信息

Penn Sports Medicine, Department of Orthopaedic Surgery, Penn Center for Advanced Cartilage Repair, Perelman School of Medicine, University of Pennsylvania, Weightman Hall, 235 South 33rd Street, Philadelphia, PA 19104, USA.

Department of Orthopaedic Surgery, Duke University Medical Center, Box 3956, Durham, NC 27710, USA.

出版信息

Clin Sports Med. 2014 Apr;33(2):375-82. doi: 10.1016/j.csm.2014.01.002.

Abstract

The authors' preferred treatment algorithm for osteochondritis dissecans (OCD) of the knee is based on skeletal maturity, OCD lesion stability, and OCD lesion salvageability. For unstable yet salvageable OCD lesions, the senior author's preferred treatment is fixation with bone grafting. For unstable and unsalvageable OCD lesions, the senior author's preferred treatment is autologous chondrocyte implantation with bone grafting.

摘要

作者对于膝关节剥脱性骨软骨炎(OCD)首选的治疗方案是基于骨骼成熟度、OCD 病变稳定性以及 OCD 病变可挽救性。对于不稳定但可挽救的 OCD 病变,资深作者首选的治疗方法是植骨固定。对于不稳定且不可挽救的 OCD 病变,资深作者首选的治疗方法是自体软骨细胞植入联合植骨。

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