[New possibilities in the management of severe circumscribed cartilage damage in the knee].

Authors review the possibilities of the treatment of degenerative damage of the knee. Their new method of operation is described, used in cases of severe cartilage damage of the superficial articular surface of the patella and of the weight bearing surface of the knee. In the available literature one similar method was found, described by Japanese authors in 1993. Authors gain since 1992 from the non weight bearing articular surface of the femur cartilagineous-osreous cylinders for the supply of the defects of the weight bearing surface and the cartilagineous defects of the patella. By this a gliding surface, better than gained with the former method can be created. The method described after an early follow up of their first 14 operations.