关节镜下采用颗粒状青少年同种异体移植软骨治疗距骨骨软骨损伤
Arthroscopic treatment of talus osteochondral lesions with particulated juvenile allograft cartilage.
作者信息
Giza Eric, Delman Connor, Coetzee J Chris, Schon Lew C
机构信息
Department of Orthopaedics, University of California, Davis, Sacramento, CA, USA
Department of Orthopaedics, University of California, Davis, Sacramento, CA, USA.
出版信息
Foot Ankle Int. 2014 Oct;35(10):1087-94. doi: 10.1177/1071100714548704. Epub 2014 Sep 15.
UNLABELLED
Osteochondral lesions of the talus (OLT) are commonly associated with traumatic injury to the ankle joint. Treatment options depend on the grade, location, and size of the lesion. Operative intervention is frequently required with initial management involving marrow stimulation techniques, such as microfracture/curettage. Larger lesions often require a secondary procedure, such as osteochondral transplantation or autologous chondrocyte implantation. The advent of particulated juvenile articular cartilage (PJAC) provides an alternative method for OLTs refractory to traditional treatments. This article describes the technique of PJAC transplantation for the treatment of osteochondral lesions of the talus.
LEVEL OF EVIDENCE
Level V, expert opinion.
未标注
距骨骨软骨损伤（OLT）通常与踝关节创伤性损伤相关。治疗方案取决于损伤的分级、位置和大小。初始治疗常需要手术干预，包括骨髓刺激技术，如微骨折/刮除术。较大的损伤通常需要二次手术，如骨软骨移植或自体软骨细胞植入。颗粒状青少年关节软骨（PJAC）的出现为传统治疗难治的OLT提供了一种替代方法。本文描述了PJAC移植治疗距骨骨软骨损伤的技术。
证据水平
V级，专家意见。
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