Albright Jay C, Daoud Ariel Kiyomi
Department of Orthopedics, Children's Hospital Colorado, University of Colorado, 13123 East 16th Avenue, B060, Aurora, CO 80045, USA.
Department of Orthopedics, Children's Hospital Colorado, University of Colorado, 13123 East 16th Avenue, B060, Aurora, CO 80045, USA.
Clin Sports Med. 2017 Jul;36(3):501-507. doi: 10.1016/j.csm.2017.02.012. Epub 2017 Apr 15.
Articular cartilage damage remains a significant cause for early osteoarthritis in adolescents and young adults. After chondroplasty alone, the mainstay procedure for cartilage injuries is microfracture. Although in small lesions this may be successful long-term, positive results of treating larger lesions this way are less certain. This inconsistency in outcomes has led to augmentation of these defects with scaffolding for autograft regeneration or for allograft cartilage to fill the defect with a hyaline cartilage. This discussion includes current techniques for the addition of scaffolding to the microfracture defect for larger lesions, the rationale, and preliminary results.
关节软骨损伤仍然是青少年和年轻成年人早期骨关节炎的一个重要原因。在单纯软骨成形术后，软骨损伤的主要治疗方法是微骨折。虽然对于小面积损伤，这种方法可能长期有效，但对于大面积损伤，以这种方式治疗的积极效果尚不确定。这种结果的不一致性导致人们采用支架来增强这些缺损，以促进自体移植再生或使用同种异体软骨填充缺损，使其形成透明软骨。本次讨论包括目前针对大面积损伤在微骨折缺损处添加支架的技术、原理及初步结果。
