Mitev Konstantin
Orthopedic and Traumatology Department, Zan Mitrev Clinic, Skopje, Republic of North Macedonia.
J Surg Case Rep. 2023 Jun 20;2023(6):rjad260. doi: 10.1093/jscr/rjad260. eCollection 2023 Jun.
Knee cartilage defects can cause significant pain and disability, leading to progressive degenerative changes if left untreated. Arthroscopic repair of these defects with minced cartilage autograft has emerged as a promising alternative to traditional surgical techniques. Articular cartilage was harvested from the edge of the osteochondral defect and from the edge of the supracondylar notch with a shaver. After that, the mixed cartilage was combined with prp in thrombinator were aplicated on the defect covered with fibrin glue. Postoperatively, the patient reported significant improvement in pain and function.
膝关节软骨缺损可导致严重疼痛和功能障碍，若不治疗会导致进行性退变改变。采用自体碎软骨进行关节镜下修复这些缺损已成为传统手术技术的一种有前景的替代方法。用刨刀从骨软骨缺损边缘和髁间窝边缘采集关节软骨。之后，将混合软骨与凝血酶生成器中的富血小板血浆混合，应用于覆盖有纤维蛋白胶的缺损处。术后，患者报告疼痛和功能有显著改善。
