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髌骨新鲜骨软骨同种异体移植术

Patellar Fresh Osteochondral Allograft Transplantation.

作者信息

Dekker Travis J, Kennedy Mitchell I, Grantham W Jeffrey, DePhillipo Nicholas N, LaPrade Robert F

机构信息

Steadman Clinic, Vail, Colorado, U.S.A.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

出版信息

Arthrosc Tech. 2019 Jul 19;8(8):e851-e854. doi: 10.1016/j.eats.2019.03.025. eCollection 2019 Aug.

DOI:10.1016/j.eats.2019.03.025
PMID:31700780
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6823814/
Abstract

Chondral defects of the patellofemoral joint remain a difficult-to-treat pathology with limited long-term results. Currently available techniques to treat large or unipolar chondral defects of the patella include autologous chondrocyte implantation and osteochondral allograft transplantation. Despite the recent advances in orthobiologic adjuncts, there is no single gold-standard surgical approach to this difficult-to-treat pathology in patients who are frequently young, active, and demanding on their bodies. We describe a technique for osteochondral allograft transplantation to the patella for an isolated patellar chondral lesion (unipolar).

摘要

髌股关节软骨损伤仍然是一种难以治疗的病症,长期疗效有限。目前可用于治疗髌骨大面积或单极软骨损伤的技术包括自体软骨细胞移植和异体骨软骨移植。尽管近年来在骨科生物辅助技术方面取得了进展,但对于这类经常年轻、活跃且对身体要求较高的难以治疗的病症患者,尚无单一的金标准手术方法。我们描述了一种针对孤立性髌骨软骨损伤(单极)进行髌骨异体骨软骨移植的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a2/6823814/4b815ea48a1a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a2/6823814/8c35072aa054/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a2/6823814/0aa98c94c55f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a2/6823814/4b815ea48a1a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a2/6823814/8c35072aa054/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a2/6823814/0aa98c94c55f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a2/6823814/4b815ea48a1a/gr3.jpg

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本文引用的文献

1
Clinical and MRI Outcomes of Fresh Osteochondral Allograft Transplantation After Failed Cartilage Repair Surgery in the Knee.膝关节软骨修复术后失败行新鲜异体骨软骨移植的临床和 MRI 结果。
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Fresh osteochondral allograft transplantation for isolated patellar cartilage injury.
使用上外侧入路和70°关节镜优化复发性髌骨不稳定患者髌股轨迹和骨软骨损伤的可视化。
Arthrosc Tech. 2020 Nov 20;9(11):e1731-e1736. doi: 10.1016/j.eats.2020.07.020. eCollection 2020 Nov.
新鲜同种异体骨软骨移植治疗孤立性髌软骨损伤。
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Development of a Comprehensive Osteochondral Allograft MRI Scoring System (OCAMRISS) with Histopathologic, Micro-Computed Tomography, and Biomechanical Validation.开发一种具有组织病理学、微型计算机断层扫描和生物力学验证的综合骨软骨异体移植MRI评分系统(OCAMRISS)。
Cartilage. 2014 Jan 1;5(1):16-27. doi: 10.1177/1947603513514436.
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The evaluation and management of cartilage lesions affecting the patellofemoral joint.髌股关节软骨病变的评估与处理。
Curr Rev Musculoskelet Med. 2013 Jun;6(2):141-9. doi: 10.1007/s12178-013-9157-z.
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Cartilage defects of the femoral trochlea.股骨滑车的软骨缺损。
Knee Surg Sports Traumatol Arthrosc. 2009 Nov;17(11):1316-25. doi: 10.1007/s00167-009-0799-8. Epub 2009 Apr 28.
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Biomechanical analysis of the single-leg decline squat.单腿下蹲的生物力学分析
Br J Sports Med. 2007 Apr;41(4):264-8; discussion 268. doi: 10.1136/bjsm.2006.032482. Epub 2007 Jan 15.
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Fresh osteochondral allografts for patellofemoral arthritis: long-term followup.新鲜同种异体骨软骨移植治疗髌股关节炎:长期随访
Clin Orthop Relat Res. 2006 Mar;444:193-200. doi: 10.1097/01.blo.0000201152.98830.ed.
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