Godin Jonathan A, Hussain Zaamin B, Sanchez Anthony, Sanchez George, Ferrari Márcio B, Cinque Mark E, Kennedy Nicholas I, Provencher Matthew T
Steadman Clinic, Vail, Colorado, U.S.A.
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Arthrosc Tech. 2017 Oct 23;6(5):e1959-e1965. doi: 10.1016/j.eats.2017.07.026. eCollection 2017 Oct.
Chondral lesions of the knee can occur secondary to limb malalignment. To address these interrelated problems, a high tibial osteotomy with concomitant osteochondral allograft transfer may be performed. It is important to address these chondral lesions as they often affect the young and active population and cause morbidity in an otherwise healthy population. Although numerous approaches for the treatment of chondral lesions have been described, long-term results demonstrating regeneration of hyaline cartilage have yet to be reported. Furthermore, larger, full-thickness cartilage defects, which can be caused by limb malalignment, have proven to be particularly challenging to treat. This Technical Note details our technique for multicompartmental osteochondral allograft transplantation with concomitant high tibial osteotomy in a patient with 2 focal cartilage lesions in the knee.
膝关节软骨损伤可继发于肢体对线不良。为解决这些相互关联的问题，可进行高位胫骨截骨术并同时进行异体骨软骨移植。处理这些软骨损伤很重要，因为它们常影响年轻且活跃的人群，并在原本健康的人群中导致发病。尽管已经描述了多种治疗软骨损伤的方法，但尚未有关于透明软骨再生的长期结果报告。此外，由肢体对线不良引起的更大的全层软骨缺损已被证明治疗起来特别具有挑战性。本技术说明详细介绍了我们在一名膝关节有2处局灶性软骨损伤的患者中进行多间室异体骨软骨移植并同时进行高位胫骨截骨术的技术。
