Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2015 / Cilt: 26 - Sayı: 2

Kıkırdak tamir teknikleri ile klinik deneyimler: Sonuçlar, endikasyonlar, kontrendikasyonlar ve rehabilitasyon

Clinical experiences with cartilage repair techniques: outcomes, indications, contraindications and rehabilitation

Pages
84–96
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It gives a brief summary of thesewell-described techniques, summarizes the authors clinicalexperience and available data on the clinical outcome, and therehabilitation protocol following different procedures, with aspecial emphasis on mosaicplasty.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Untreated articular cartilage defects may lead to chronicjoint degeneration and functional disability.
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Key Findings & Data:Among these techniques,mosaicplasty was introduced by the senior author into theclinical practice in 1992.
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Conclusion & Impact:It gives a brief summary of thesewell-described techniques, summarizes the authors clinicalexperience and available data on the clinical outcome, and therehabilitation protocol following different procedures, with aspecial emphasis on mosaicplasty.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Untreated articular cartilage defects may lead to chronicjoint degeneration and functional disability. In the pastdecade, several cartilage repair techniques have emerged forthe treatment of cartilage lesions. Among these techniques,mosaicplasty was introduced by the senior author into theclinical practice in 1992. This article does not intend togive a review or a comparison of currently existing surgicaltechniques which aim to repair symptomatic focal defects;however, it focuses on the procedures used in the everydaypractice in the authors institute, namely microfracture,mosaicplasty, autologous chondrocyte implantation (ACI),osteochondral allograft transplantation and biodegradableosteochondral scaffolds. It gives a brief summary of thesewell-described techniques, summarizes the authors clinicalexperience and available data on the clinical outcome, and therehabilitation protocol following different procedures, with aspecial emphasis on mosaicplasty.

Özet

Tedavi edilmemiş eklem kıkırdak defektleri, kronik eklemdejenerasyonuna ve fonksiyonel engelliliğe neden olabilir.Son 10 yılda kıkırdak lezyonlarının tedavisinde çeşitlikıkırdak tamir teknikleri geliştirilmiştir. Bu tekniklerdenmozaikplasti, 1992 yılında kıdemli bir yazar tarafındanklinik uygulamaya taşınmıştır. Bu makalede günümüzdesemptomatik fokal defektlerin tamirinde kullanılan mevcutcerrahi tekniklere ilişkin bir derleme veya karşılaştırmayapılmadı; ancak yazarların çalıştığı hastanelerde günlükyaşamda kullandıkları mikrokırık, mozaikplasti, otologkondrosit implantasyonu (OKİ), osteokondral allogrefttransplantasyonu ve biyolojik olarak bozunabilirosteokondral iskelet işlemleri irdelendi. Bu yazı iyitanımlanan tekniklerin kısa bir özeti niteliğinde olup,mozaikplasti bağlamında yazarların klinik deneyimini veklinik sonuca ilişkin mevcut verileri ve farklı işlemlerinrehabilitasyon protokollerini özetlemektedir.

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Cite This Article

BERTA, A., HANGODY, L., TOTH, F., DUSKA, Z. (2022). Kıkırdak tamir teknikleri ile klinik deneyimler: Sonuçlar, endikasyonlar, kontrendikasyonlar ve rehabilitasyon. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 26 - Sayı: 2, 84–96. https://ajindex.com/articles/498547

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References (14)

  1. Steadman JR, Rodkey WG, Rodrigo JJ. Microfracture: surgical technique and rehabilitation to treat chondral defects. Clin Orthop Relat Res 2001;391:362-9
  2. Schindler OS. Current concepts of articular cartilage repair. Acta Orthop Belg 2011;77:709-26
  3. Hangody L, Dobos J, Baló E, Pánics G, Hangody LR, Berkes I. Clinical experiences with autologous osteochondral mosaicplasty in an athletic population: a 17-year prospective multicenter study. Am J Sports Med 2010;38:1125-33
  4. Lexer E. Substitution of whole or half joints from freshly amputated extremities by free plastic operation. Surg Gynaecol Obstet 1908;6:601-7
  5. Convery FR, Akeson WH, Keown GH. The repair of large osteochondral defects. An experimental study in horses. Clin Orthop Relat Res 1972;82:253-62
  6. Mankin HJ, Doppelt S, Tomford W. Clinical experience with allograft implantation. The first ten years. Clin Orthop Relat Res 1983;174:69-86
  7. Pritzker KP, Gross AE, Langer F, Luk SC, Houpt JB. Articular cartilage transplantation. Hum Pathol 1977;8:635-51
  8. Csönge L, Bravo D, Newman-Gage H, Rigley T, Conrad EU, Bakay A, et al. Banking of osteochondral allografts, Part II. Preservation of Chondrocyte Viability During Long-Term Storage. Cell Tissue Bank 2002;3:161-8
  9. Williams SK, Amiel D, Ball ST, Allen RT, Wong VW, Chen AC, et al. Prolonged storage effects on the articular cartilage of fresh human osteochondral allografts. J Bone Joint Surg [Am] 2003;85:2111-20
  10. Hangody LR, Gál T, Szűcs A, Vásárhelyi G, Tóth F, Módis L, et al. Osteochondral allograft transplantation from a living donor. Arthroscopy 2012;28:1180-3
  11. Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L. Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 1994;331:889-95
  12. Peterson L, Vasiliadis HS, Brittberg M, Lindahl A. Autologous chondrocyte implantation: a long-term follow- up. Am J Sports Med 2010;38:1117-24
  13. Bartlett W, Skinner JA, Gooding CR, Carrington RW, Flanagan AM, Briggs TW, et al. Autologous chondrocyte implantation versus matrix-induced autologous chondrocyte implantation for osteochondral defects of the knee: a prospective, randomised study. J Bone Joint Surg [Br] 2005;87:640-5
  14. Gooding CR, Bartlett W, Bentley G, Skinner JA, Carrington R, Flanagan A. A prospective, randomised study comparing two techniques of autologous chondrocyte implantation for osteochondral defects in the knee: Periosteum covered versus type I/II