Hellinger J
Zentralbl Chir. 1977;102(15):945-51.
The articular cartilage transplantation and the half-joint transplantation necessitate the assessment of specific biological-transplantation questions as to the structure and function of the hyaline cartilage. Compared with other organ transplantations biometric and biomechanical factors have to be taken into consideration additionally. Up to now contradictory results were obtained in the animal experiment. On principle a survival of grafted non-preserved parts of cartilage seems to be possible. In clinical practice therapeutic trials for autogenous reimplantation of articular cartilage, autogenous joint surface partial transplantations and half-joint transplantations are justified. Allogenous half-joint transplantations may also be possible in exceptional cases.
关节软骨移植和半关节移植需要评估关于透明软骨结构和功能的特定生物移植问题。与其他器官移植相比,还必须额外考虑生物统计学和生物力学因素。到目前为止,在动物实验中得到了相互矛盾的结果。原则上,移植的未保存软骨部分似乎有可能存活。在临床实践中,自体关节软骨再植入、自体关节表面部分移植和半关节移植的治疗试验是合理的。在特殊情况下,同种异体半关节移植也可能可行。