Arthroscopic and Open Techniques for Transplantation of Osteochondral Autografts and Allografts in Different Joints
| Autor: | G. M. Oettl, P. Schöttle, Andreas B. Imhoff, A. Burkart, J. D. Agneskirchner |
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| Rok vydání: | 2000 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty business.industry Joint replacement Cartilage medicine.medical_treatment musculoskeletal system medicine.disease Osteochondritis dissecans Surgery Transplantation medicine.anatomical_structure Articular cartilage repair Medicine Femur Tibia business Autologous chondrocyte implantation |
| Zdroj: | Osteoarthritis ISBN: 9783642877544 |
| DOI: | 10.1007/978-3-642-87752-0_9 |
| Popis: | A chondral/osteochondral defect involving the articular surface of a joint is still a therapeutic problem. The goal of articular cartilage repair is restoration of cartilage congruity, accomplishing full pain-free range of motion and elimination of cartilage deterioration (Bobic 1996; Imhoff and Ottl 1997; Ottl et al. 1997). There are a variety of methods of treatment. Current treatments are: debridement and drilling, picking or abrasion of the subchondral bone (Johnson 1991; Rodrigo et al. 1994; Tippet 1996), fresh osteochondral allografts (Garret 1997; Gross 1997), periosteal or perichondral grafting (Homminga et al. 1990; Lorentzon 1996), periosteal grafting with chondrocyte transplant (Brittberg et al. 1994; Peterson 1997) and joint replacement. The use of autologous grafts was first reported by Wagner and Muller in 1964 (Muller 1978; Wagner 1964). The use of cylindrical autograft plugs was described by Bobic (1996) (osteochondral autograft transfer system, OATS) and Hangody et al. (1996) (mosaicplasty). Although originally developed for the treatment of focal chondral and osteochondral defects of the weight-bearing surfaces of the femur, it can also be used on the patella, tibia, elbow, talar dome, shoulder and hip. |
| Databáze: | OpenAIRE |
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