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微创单髁关节表面置换术

Minimally Invasive Unicompartmental Articular Resurfacing.

作者信息

Carpenter Melissa L, Villarreal-Espinosa Juan Bernardo, Kerzner Benjamin, Gómez-Verdejo Fernando, Jones Kristofer J, Wang Dean, Gerhold Cameron, Dave Udit, Chahla Jorge

机构信息

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

Department of Orthopaedic Surgery, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, U.S.A.

出版信息

Arthrosc Tech. 2024 Dec 10;14(4):103351. doi: 10.1016/j.eats.2024.103351. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103351
PMID:40453032
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126033/
Abstract

Osteochondral defects in the knee can be managed in a variety of ways on the basis of location, size, and activity level. Current strategies to address these lesions produce variable long-term clinical outcomes and are associated with prolonged postoperative rehabilitation. In this Technical Note, we describe a reproducible, single-staged surgical technique for use of the OvertureTi Minimally Invasive Unicompartmental Articular Knee Resurfacing System. This system provides a viable alternative to biological surgical options or knee arthroplasty by selectively treating focal chondral lesions, while preserving healthy surrounding cartilage and meniscus.

摘要

膝关节的骨软骨损伤可根据损伤部位、大小和活动水平采用多种方法进行处理。目前针对这些损伤的治疗策略产生的长期临床效果各异,且术后康复时间较长。在本技术说明中,我们描述了一种可重复的单阶段手术技术,用于使用OvertureTi微创单髁膝关节表面置换系统。该系统通过选择性治疗局部软骨损伤,同时保留周围健康的软骨和半月板,为生物手术方案或膝关节置换术提供了一种可行的替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/f7b0d752222a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/2f978cb3c2eb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/0f5d467becec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/f20b4776eeff/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/53374caa112e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/467249218b52/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/1f622d0479d2/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/ad2908b7eb99/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/f7b0d752222a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/2f978cb3c2eb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/0f5d467becec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/f20b4776eeff/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/53374caa112e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/467249218b52/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/1f622d0479d2/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/ad2908b7eb99/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/670d/12126033/f7b0d752222a/gr8.jpg

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本文引用的文献

1
Focal resurfacing of the knee - A systematic review and meta-analysis.膝关节局灶性表面置换术的系统评价和荟萃分析。
Knee. 2024 Jun;48:63-75. doi: 10.1016/j.knee.2024.02.013. Epub 2024 Mar 22.
2
Knee Cartilage Lesion Management-Current Trends in Clinical Practice.膝关节软骨损伤的管理——临床实践的当前趋势
J Clin Med. 2023 Oct 10;12(20):6434. doi: 10.3390/jcm12206434.
3
Top Ten Pearls for a Successful Transtibial Pull-Out Repair of Medial Meniscal Posterior Root Tears With a Concomitant Centralization Stitch.使用伴随中心化缝合进行内侧半月板后根撕裂的成功经胫骨拉出修复的十大要点
Arthrosc Tech. 2023 Jun 5;12(7):e1039-e1049. doi: 10.1016/j.eats.2023.02.053. eCollection 2023 Jul.
4
Surgical Treatment of Focal Chondral Lesions of the Knee in the Military Population: Current and Future Therapies.膝关节局灶性软骨病变的外科治疗:现状与未来治疗策略。
Mil Med. 2024 Feb 27;189(3-4):e541-e550. doi: 10.1093/milmed/usad250.
5
Femoral condyle resurfacing using an inlay metal implant: low revision rate of 266 patients in a 5-10 years follow-up.使用镶嵌式金属植入物进行股骨髁表面置换:266例患者5至10年随访的低翻修率
Arch Orthop Trauma Surg. 2023 Mar;143(3):1243-1251. doi: 10.1007/s00402-021-04251-x. Epub 2021 Nov 14.
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The Large Focal Isolated Chondral Lesion.
J Knee Surg. 2023 Mar;36(4):368-381. doi: 10.1055/s-0041-1735278. Epub 2021 Sep 10.
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How to Manage Cartilage Injuries?如何处理软骨损伤?
Arthroscopy. 2019 Oct;35(10):2771-2773. doi: 10.1016/j.arthro.2019.08.021.
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Clinical Outcomes and Failure Rates of Osteochondral Allograft Transplantation in the Knee: A Systematic Review.关节镜下微骨折术与富血小板血浆注射治疗膝关节骨软骨损伤的随机对照研究
Am J Sports Med. 2018 Dec;46(14):3541-3549. doi: 10.1177/0363546517732531. Epub 2017 Oct 17.
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Posterior Meniscal Root Repair: The Transtibial Double Tunnel Pullout Technique.后交叉韧带半月板根部修复:经胫骨双隧道拉出技术。
Arthrosc Tech. 2016 Mar 28;5(2):e291-6. doi: 10.1016/j.eats.2016.01.006. eCollection 2016 Apr.
10
Treatment of Large Knee Osteochondral Lesions With a Biomimetic Scaffold: Results of a Multicenter Study of 49 Patients at 2-Year Follow-up.使用仿生支架治疗大型膝关节骨软骨损伤:一项针对49例患者的多中心研究2年随访结果
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