Thompson Simon M, Saso Anja, Raval Parag, Jones Mary, Williams Andrew M
Fortius Clinic London, London, UK.
Imperial College London, Exhibition Rd, London, UK.
Knee Surg Sports Traumatol Arthrosc. 2016 May;24(5):1660-4. doi: 10.1007/s00167-015-3708-3. Epub 2015 Jul 23.
Autologous chondrocyte implantation (ACI) and mosaicplasty have become established operations used to treat full-thickness chondral lesions in the knee and elsewhere. Although complications of both have been documented, there are no previous reports of avascular necrosis (AVN) complicating these procedures. Awareness of AVN as a complication of ACI might have prompted an earlier diagnosis, with possible non-surgical treatment or more minor surgery being possible. At the very least, an appropriate form of management could have been initiated earlier, so shortening the period of disability and suffering for the patient.
自体软骨细胞植入术（ACI）和镶嵌植骨术已成为用于治疗膝关节及其他部位全层软骨损伤的既定手术方法。尽管这两种手术的并发症均有记录，但此前尚无关于这些手术并发缺血性坏死（AVN）的报道。认识到AVN是ACI的一种并发症，可能会促使更早的诊断，从而有可能进行非手术治疗或采取更小型的手术。至少，可以更早地启动适当的治疗方式，从而缩短患者的残疾和痛苦时间。
