Iowa City, Iowa.
Arthroscopy. 2019 Jan;35(1):179-181. doi: 10.1016/j.arthro.2018.10.007.
With myriad cartilage surgery techniques available, including marrow stimulation, autologous osteochondral transfer, osteochondral allograft transplantation, and autologous chondrocyte implantation, treatment of knee articular cartilage injuries has become increasingly complex. Recent evidence suggests that advanced cartilage restoration procedures may provide improved outcomes and durability when compared with marrow stimulation techniques. When investigating orthopaedic surgeons early in practice, it appears that utilization of marrow stimulation techniques has decreased, an encouraging trend that is in line with recent evidence. However, it is important to consider how other factors not investigated, including insurance approval and payor reimbursement, may influence these trends moving forward.
有许多软骨手术技术可供选择，包括骨髓刺激、自体软骨细胞移植、同种异体骨软骨移植和自体软骨细胞移植，膝关节软骨损伤的治疗变得越来越复杂。最近的证据表明，与骨髓刺激技术相比，先进的软骨修复程序可能提供更好的结果和耐久性。在研究早期实践中的骨科医生时，似乎骨髓刺激技术的应用已经减少，这是一个令人鼓舞的趋势，与最近的证据一致。然而，重要的是要考虑到其他未被调查的因素，包括保险批准和支付者报销，这些因素可能会影响这些趋势的发展。
