Bai Xue Susan, Thomas Jonelle M, Ha Alice S
Department of Radiology, University of Washington, Seattle, Washington.
Department of Radiology, Penn State Hershey Medical Center, Hershey, Pennsylvania.
Semin Musculoskelet Radiol. 2017 Apr;21(2):147-164. doi: 10.1055/s-0037-1599211. Epub 2017 Mar 29.
Injuries of the articular cartilage remain difficult to treat and can range from small articular cartilage defects to end-stage severe osteoarthritis. In this review, we discuss various surgical treatment options including imaging features and associated complications. Specifically, we review microfracture, acellular matrix-induced microfracture, autologous osteochondral transplantation, osteochondral allograft transplantation, autologous chondrocyte implantation, along with various forms of knee arthroplasties.
关节软骨损伤的治疗仍然困难,损伤范围从小的关节软骨缺损到终末期严重骨关节炎。在本综述中,我们讨论了各种手术治疗选择,包括影像学特征和相关并发症。具体而言,我们回顾了微骨折、无细胞基质诱导微骨折、自体骨软骨移植、异体骨软骨移植、自体软骨细胞植入,以及各种形式的膝关节置换术。