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马赛克成形术治疗关节软骨缺损:临床应用

Mosaicplasty for the treatment of articular cartilage defects: application in clinical practice.

作者信息

Hangody L, Kish G, Kárpáti Z, Udvarhelyi I, Szigeti I, Bély M

机构信息

Department of Orthopedics and Trauma, Budapest Uzsoki Hospital, Hungary.

出版信息

Orthopedics. 1998 Jul;21(7):751-6. doi: 10.3928/0147-7447-19980701-04.

DOI:10.3928/0147-7447-19980701-04
PMID:9672912
Abstract

This article describes a one-step operative technique for the treatment of circumscript cartilage defects of weight-bearing surfaces of the knee. Since 1992, a total of 227 patients were treated using this technique for full-thickness lesions resulting from chondropathy, traumatic chondral defects, and osteochondritis dissecans; the procedure was evaluated in 57 patients who had > 3 years of follow-up. Magnetic resonance imaging, computed tomography arthrographies, ultrasound, and arthroscopy were used to evaluate the technique. Using the modified Hospital for Special Surgery (HSS) knee scoring system, 91% of the patients achieved a good or excellent result. The operative technique, clinical results, and complications are detailed.

摘要

本文介绍了一种用于治疗膝关节负重面局限性软骨缺损的一步手术技术。自1992年以来,共有227例患者使用该技术治疗软骨病、创伤性软骨缺损和剥脱性骨软骨炎导致的全层损伤;对57例随访超过3年的患者进行了该手术评估。采用磁共振成像、计算机断层扫描关节造影、超声和关节镜检查来评估该技术。使用改良的特种外科医院(HSS)膝关节评分系统,91%的患者获得了良好或优异的结果。详细介绍了手术技术、临床结果和并发症。

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