Du Dajiang, Hsu Peichun, Zhu Zhenzhong, Zhang Changqing
Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Shanghai, 200233, China.
J Orthop Translat. 2019 Aug 10;21:122-128. doi: 10.1016/j.jot.2019.06.002. eCollection 2020 Mar.
Total hip arthroplasty is a common surgical technique, yet it has severe complications, such as loosening and repeated revision. Thus, hip-preserving surgical options should be considered first to treat cartilage defects in the femoral head, especially for younger patients. Current surgical options for chondral repair of the femoral head include microfracture, trapdoor procedure, transplantation of osteochondral allografts and autografts, and autologous chondrocyte implantation. Each of these techniques has unique advantages and limitations; however, none of them have been consented as the best practice for cartilage defects. In this review article, we also introduced a novel technique for repairing osteochondral defects of the femoral head using autologous costal cartilage grafts that may have good translational potential for cost-effective and safe applications.
This review updates current surgical options for reparing articular cartilage defects in the femoral head. We also introduce a novel technique for repairing osteochondral defects of the femoral head using autologous costal cartilage grafts.
全髋关节置换术是一种常见的外科手术技术，但它有严重的并发症，如松动和反复翻修。因此，对于股骨头软骨缺损的治疗，尤其是年轻患者，应首先考虑保髋手术方案。目前用于股骨头软骨修复的手术方案包括微骨折术、活板门手术、异体和自体骨软骨移植以及自体软骨细胞植入。这些技术各有独特的优点和局限性；然而，它们都未被公认为软骨缺损的最佳治疗方法。在这篇综述文章中，我们还介绍了一种使用自体肋软骨移植修复股骨头骨软骨缺损的新技术，该技术在经济有效和安全应用方面可能具有良好的转化潜力。
这篇综述更新了目前修复股骨头关节软骨缺损的手术方案。我们还介绍了一种使用自体肋软骨移植修复股骨头骨软骨缺损的新技术。
