Welton Kristina Linnea, Logterman Stephanie, Bartley Justin H, Vidal Armando F, McCarty Eric C
Department of Orthopedic Surgery - Sports Medicine, University of Colorado, CU Sports Medicine and Performance Center, 2150 Stadium Drive, Boulder, CO 80309, USA.
Department of Orthopedic Surgery, University of Colorado, 12631 E. 17th Avenue, Mailstop B202, Aurora, CO 80045, USA; Department of Orthopedic Surgery, University of Colorado, Anschutz Medical Campus, 13001 East 17th Place, AO1 Building - 4th Floor, Aurora, CO 80045, USA.
Clin Sports Med. 2018 Apr;37(2):307-330. doi: 10.1016/j.csm.2017.12.008.
Focal cartilage defects in the knee are commonly found on MRI and arthroscopically. When these lesions are symptomatic and fail nonoperative management several surgical strategies are available. Common surgical techniques include reparative (ie, microfracture) and restorative procedures (ie, autologous chondrocyte implantation, particulated juvenile allograft cartilage, osteochondral autograft transfer, and osteochondral allograft). Each of these surgical procedures have shared and novel complications associated with their use. This article provides a detailed, case-based discussion of common complications encountered in surgical procedures for focal cartilage defects of the knee, highlighting causes, clinical recognition, and how to address and avoid these complications.
膝关节局灶性软骨缺损在磁共振成像（MRI）和关节镜检查中很常见。当这些病变出现症状且非手术治疗无效时，有多种手术策略可供选择。常见的手术技术包括修复性手术（如微骨折术）和重建性手术（如自体软骨细胞植入、颗粒状青少年同种异体软骨移植、自体骨软骨移植和同种异体骨软骨移植）。这些手术中的每一种都有与其使用相关的共同和新出现的并发症。本文基于病例详细讨论了膝关节局灶性软骨缺损手术中常见的并发症，重点介绍了其病因、临床识别方法以及如何处理和避免这些并发症。
