Morscher E
Zentralbl Chir. 1977;102(15):935-44.
The present day knowledge and the practical use of cartilage joint transplantation in the knee joint are reviewed. Apart from the refixation of cartilage-bone and pure cartilage fragments, autologous transplantation has not fulfilled the expectation anticipated from animal experiments. Apart from the question of the source of the graft, the final results depends primarily on the problems of the functional adjustment of the grafted cartilage in its new position and its nutrition. Homologous cartilagenous grafting can give extraordinarily good clinical results but they are not equal to those of a truely successful graft. In spite of this, future research in cartilage joint transplantation will be concentrated on homologous grafting.
本文回顾了膝关节软骨关节移植的现有知识及实际应用情况。除了软骨-骨和单纯软骨碎片的重新固定外,自体移植并未达到动物实验所预期的效果。除了移植物来源的问题外,最终结果主要取决于移植软骨在新位置的功能调整及其营养问题。同种异体软骨移植可取得非常好的临床效果,但仍比不上真正成功的移植。尽管如此,未来软骨关节移植的研究仍将集中在同种异体移植上。