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[膝关节单髁软骨缺损治疗指南——软骨修复、截骨术、微型植入物还是关节成形术？]

[Guidelines for the treatment of unicompartmental cartilage defects of the knee-Cartilage repair, osteotomy, mini-implant or arthroplasty?].

作者信息

Becher Christoph, Imhoff Andreas

机构信息

IZO - Internationales Zentrum für Orthopädie, ATOS Klinik Heidelberg, Bismarckstr. 9-15, 69115, Heidelberg, Deutschland.

Abteilung für Sportorthopädie, Klinikum rechts der Isar, Technische Universität München (TUM), München, Deutschland.

出版信息

Orthopade. 2021 Feb;50(2):88-95. doi: 10.1007/s00132-020-04051-y.

DOI:10.1007/s00132-020-04051-y
PMID:33337504
Abstract

The treatment of unicompartmental cartilage defects offers a large variety of therapeutic options. With help of an algorithm, decision-making for the most suitable treatment approach is supported. Correction of malalignment is key for successful treatment. Defect size, influencing factors such as "age" and prior treatments play an important role in choosing the most appropriate operative treatment option.

摘要

单髁软骨缺损的治疗有多种选择。借助一种算法，有助于支持做出关于最合适治疗方法的决策。纠正力线不良是成功治疗的关键。缺损大小、诸如“年龄”等影响因素以及既往治疗在选择最合适的手术治疗方案中起着重要作用。

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本文引用的文献

1
The deleterious effects of smoking in bone mineralization and fibrillar matrix composition.吸烟对骨矿化和纤维状基质组成的有害影响。
Life Sci. 2020 Jan 15;241:117132. doi: 10.1016/j.lfs.2019.117132. Epub 2019 Dec 13.
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Unicondylar Tibiofemoral Arthroplasty - Opinions of the Members of the German Knee Society (DKG) and the German Professional Association of Orthopaedic and Trauma Specialists (BVOU).单髁胫骨股骨关节置换术 - 德国膝关节学会（DKG）和德国骨科和创伤专家专业协会（BVOU）成员的意见。
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Survival Analysis of Revision Autologous Chondrocyte Implantation for Failed ACI.
翻修自体软骨细胞植入治疗 ACI 失败的生存分析。
Am J Sports Med. 2019 Nov;47(13):3212-3220. doi: 10.1177/0363546519876630. Epub 2019 Oct 7.
4
High Rate of Failure After Matrix-Assisted Autologous Chondrocyte Transplantation in Osteoarthritic Knees at 15 Years of Follow-up.15 年随访时，骨关节炎膝关节行基质辅助自体软骨细胞移植后失败率高。
Am J Sports Med. 2019 Jul;47(9):2116-2122. doi: 10.1177/0363546519855029. Epub 2019 Jun 18.
5
UniCAP offers a long term treatment for middle-aged patients, who are not revised within the first 9 years.UniCAP 为中年患者提供长期治疗，这些患者在最初 9 年内无需进行修订。
Knee Surg Sports Traumatol Arthrosc. 2019 May;27(5):1693-1697. doi: 10.1007/s00167-019-05356-y. Epub 2019 Feb 11.
6
Cartilage repair surgery prevents progression of knee degeneration.软骨修复手术可防止膝关节退变进展。
Knee Surg Sports Traumatol Arthrosc. 2019 Sep;27(9):3001-3013. doi: 10.1007/s00167-018-5321-8. Epub 2018 Dec 12.
7
[Significance of Matrix-augmented Bone Marrow Stimulation for Treatment of Cartilage Defects of the Knee: A Consensus Statement of the DGOU Working Group on Tissue Regeneration].[基质增强骨髓刺激术治疗膝关节软骨缺损的意义：德国骨科与矫形外科学会组织再生工作组共识声明]
Z Orthop Unfall. 2018 Oct;156(5):513-532. doi: 10.1055/a-0591-6457. Epub 2018 Jun 18.
8
Focal articular prosthetic resurfacing for the treatment of full-thickness articular cartilage defects in the knee: 12-year follow-up of two cases and review of the literature.膝关节全层关节软骨缺损治疗的关节假体表面置换术：2例患者的12年随访及文献综述
Arch Orthop Trauma Surg. 2017 Sep;137(9):1307-1317. doi: 10.1007/s00402-017-2717-8. Epub 2017 May 19.
9
Change of Chondral Lesions and Predictive Factors After Medial Open-Wedge High Tibial Osteotomy With a Locked Plate System.采用锁定钢板系统行内侧开放楔形高位胫骨截骨术后软骨损伤的变化及预测因素
Am J Sports Med. 2017 Jun;45(7):1615-1621. doi: 10.1177/0363546517694864. Epub 2017 Mar 14.
10
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Acta Orthop. 2016 Dec;87(sup363):26-38. doi: 10.1080/17453674.2016.1265877. Epub 2016 Dec 2.