Knee Cartilage Repair and Restoration: Common Problems and Solutions

被引：34
作者：
Welton, Kristina Linnea [1 ]
Logterman, Stephanie [2 ,3 ]
Bartley, Justin H. [1 ]
Vidal, Armando F. [4 ,5 ]
McCarty, Eric C. [1 ]
机构：
[1] Univ Colorado, Dept Orthoped Surg Sports Med, CU Sports Med & Performance Ctr, 2150 Stadium Dr, Boulder, CO 80309 USA
[2] Univ Colorado, Dept Orthoped Surg, 12631 E 17th Ave,Mailstop B202, Aurora, CO 80045 USA
[3] Univ Colorado, Dept Orthoped Surg, Anschutz Med Campus,13001 East 17th Pl,AO1 Bldg, Aurora, CO 80045 USA
[4] Univ Colorado, Dept Orthoped Surg Sports Med, 2150 Stadium Dr, Boulder, CO 80309 USA
[5] CU Sports Med Ctr, Dept Orthoped Surg, 2000 South Colorado Blvd,Colorado Ctr Tower One, Denver, CO 80222 USA
来源：
CLINICS IN SPORTS MEDICINE | 2018年 / 37卷 / 02期
关键词：
Cartilage defects; Osteochondral defects; Knee; Complications; Osteochondral autograft; Osteochondral allograft; Microfracture; Autologous chondrocyte implantation; AUTOLOGOUS CHONDROCYTE IMPLANTATION; OSTEOCHONDRAL ALLOGRAFT TRANSPLANTATION; PARTICULATED ARTICULAR-CARTILAGE; CHONDRAL DEFECTS; MICROFRACTURE TECHNIQUE; GRAFT HYPERTROPHY; MOSAICPLASTY; LESIONS; OSTEOARTHRITIS; MANAGEMENT;
D O I：
10.1016/j.csm.2017.12.008
中图分类号：
G8 [体育];
学科分类号：
04 ; 0403 ;
摘要：
Focal cartilage defects in the knee are commonly found on MRI and arthroscopically. When these lesions are symptomatic and fail nonoperative management, several surgical strategies are available. Common surgical techniques include reparative (ie, microfracture) and restorative procedures (ie, autologous chondrocyte implantation, particulated juvenile allograft cartilage, osteochondral autograft transfer, and osteochondral allograft). These surgical procedures have shared and novel complications associated with their use. This article provides a detailed, case-based discussion of common complications encountered in surgical procedures for focal cartilage defects of the knee, highlighting causes, clinical recognition, and how to address and avoid these complications.
引用
收藏
页码：307 / +
页数：25
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