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Current concepts in the articular cartilage repair and regeneration.关节软骨修复与再生的当前概念。
J Orthop. 2017 May 19;14(2):A1-A3. doi: 10.1016/j.jor.2017.05.001. eCollection 2017 Jun.
2
Autologous osteochondral transplantation (mosaicplasty) in articular cartilage defects of the patellofemoral joint: retrospective analysis of 33 cases.自体骨软骨移植(镶嵌成形术)治疗髌股关节软骨缺损:33例回顾性分析
Musculoskelet Surg. 2017 Aug;101(2):133-138. doi: 10.1007/s12306-016-0448-6. Epub 2016 Dec 31.
3
A Randomized Multicenter Trial Comparing Autologous Chondrocyte Implantation with Microfracture: Long-Term Follow-up at 14 to 15 Years.一项比较自体软骨细胞移植与微骨折术的随机多中心试验:14至15年的长期随访
J Bone Joint Surg Am. 2016 Aug 17;98(16):1332-9. doi: 10.2106/JBJS.15.01208.
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Return to Sports after Articular Cartilage Repair in the Football (Soccer) Player.足球运动员关节软骨修复后的重返运动。
Cartilage. 2012 Jan;3(1 Suppl):57S-62S. doi: 10.1177/1947603511410419.
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An educational review of cartilage repair: precepts & practice--myths & misconceptions--progress & prospects.软骨修复的教育性综述:原则与实践——误区与误解——进展与前景
Osteoarthritis Cartilage. 2015 Mar;23(3):334-50. doi: 10.1016/j.joca.2014.12.011. Epub 2014 Dec 19.
6
Arthroscopic mosaicplasty: long-term outcome and joint degeneration progression.关节镜下镶嵌植骨术:长期疗效及关节退变进展
Knee. 2015 Jan;22(1):36-40. doi: 10.1016/j.knee.2014.10.001. Epub 2014 Dec 4.
7
Results at 10-14 years after microfracture treatment of articular cartilage defects in the knee.膝关节关节软骨缺损微骨折治疗10 - 14年后的结果
Knee Surg Sports Traumatol Arthrosc. 2016 May;24(5):1587-93. doi: 10.1007/s00167-014-3443-1. Epub 2014 Nov 23.
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Long-term results after microfracture treatment for full-thickness knee chondral lesions in athletes.运动员全层膝关节软骨损伤微骨折治疗后的长期疗效
Knee Surg Sports Traumatol Arthrosc. 2014 Sep;22(9):1986-96. doi: 10.1007/s00167-013-2676-8. Epub 2013 Sep 20.
9
Evidence-based status of microfracture technique: a systematic review of level I and II studies.基于证据的微骨折技术现状:I 级和 II 级研究的系统评价。
Arthroscopy. 2013 Sep;29(9):1579-88. doi: 10.1016/j.arthro.2013.05.027.
10
Results at 10 to 14 years after osteochondral autografting (mosaicplasty) in articular cartilage defects in the knee.膝关节软骨缺损自体骨软骨移植(镶嵌成形术)10至14年后的结果。
Knee. 2013 Aug;20(4):287-90. doi: 10.1016/j.knee.2013.01.001. Epub 2013 Mar 6.

膝关节软骨修复手术后长期临床结果的早期决定因素。

Early determinants of long-term clinical outcome after cartilage repair surgery in the knee.

作者信息

Solheim Eirik, Hegna Janne, Inderhaug Eivind

机构信息

Department of Orthopedics, Deaconess University Hospital, Haraldsplass, Bergen, Norway.

Department of Orthopedics, Aleris Nesttun Hospital, Bergen, Norway.

出版信息

J Orthop. 2018 Jan 31;15(1):222-225. doi: 10.1016/j.jor.2018.01.021. eCollection 2018 Mar.

DOI:10.1016/j.jor.2018.01.021
PMID:29657472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5895901/
Abstract

PURPOSE

To identify early determinants of clinical outcome after knee cartilage repair.

METHODS

205 patients were evaluated before surgery and at median 14-years follow-up.

RESULTS

Baseline factors predicting a good outcome were: single lesion; normal appearing cartilage surrounding the lesion; high baseline Lysholm score; short duration of symptoms; non-involvement of the patella-femoral joint; young age; and small defect. Factors predicting a poor outcome were: multiple lesions; low baseline Lysholm score; degenerative cartilage surrounding the lesion; long symptom duration; meniscal lesion; and large defect.

CONCLUSIONS

The choice of surgical method seem to be less important than other patients-specific predictors.

LEVEL OF EVIDENCE

Case series, Level IV.

摘要

目的

确定膝关节软骨修复术后临床结果的早期决定因素。

方法

对205例患者在手术前及中位随访14年时进行评估。

结果

预测良好结果的基线因素包括:单一病变;病变周围软骨外观正常;基线Lysholm评分高;症状持续时间短;髌股关节未受累;年轻;缺损小。预测不良结果的因素包括:多发病变;基线Lysholm评分低;病变周围软骨退变;症状持续时间长;半月板病变;缺损大。

结论

手术方法的选择似乎不如其他患者特异性预测因素重要。

证据水平

病例系列,四级。